| 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 |