| NPI | 1922141506 |
|---|---|
| Other Name | W. MATTHEW RILEY |
| Entity Type | Organization |
| Authorized Contact | W. MATTHEW RILEY Od CEO 907-452-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |