| NPI | 1801086731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M. ORREN President 907-563-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AK 1290) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |