NPI | 1891856894 |
---|---|
Other Name | KING SALMON |
Entity Type | Organization |
Authorized Contact | ROBERT CLARK CEO 907-842-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AK 920044692) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2023-10-06 |