| NPI | 1871709873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D FROST Owner 907-563-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |