| NPI | 1922389287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BAPTIST DEKEYSER Owner 907-339-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 2087) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2017-02-08 |