NPI | 1811135247 |
---|---|
Doing Business As | MEDICENTER |
Entity Type | Organization |
Authorized Contact | R LYNN CARLSON Managing Physician 907-283-9118 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-01-22 |
Last Update Date | 2014-02-14 |