| 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 |