| NPI | 1801912902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY P DEMERS Manager 907-263-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 3359) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AK 3359) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-03-30 |