| NPI | 1861809311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA LEAR-RAYBORN Physician 907-644-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AK 7766) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-11-13 |