| NPI | 1841796869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE CARO Practice Manager 907-277-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-06-15 |