NPI | 1851919146 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY TYLOR RYZNAR Practice Manager 907-569-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
246RP1900X Technician, Pathology Phlebotomy | |
261QI0500X Clinic/Center Infusion Therapy | |
163WG0100X Registered Nurse Gastroenterology | |
163WI0500X Registered Nurse Infusion Therapy | |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |