| NPI | 1851829782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SMITH Credentialing De PT 907-398-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207RS0012X Internal Medicine Sleep Medicine | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-03-11 |