| NPI | 1922495407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE M SHOTWELL President 907-770-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 7517) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AK 7517) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-08-26 |