| NPI | 1891790184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY G KRULL President 907-262-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 264120) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2024-03-14 |