| NPI | 1891951653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T UNDERWOOD Technician 907-696-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 918089) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |