| NPI | 1790087534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAUGEN President Of Board Of Directors 907-561-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 947073) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-03-22 |