| NPI | 1902352206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD P. FLYNN President 907-491-0645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 1038449) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-29 |