| NPI | 1881184554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CARROLL Practice Manager 907-317-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AK 7157) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |