| NPI | 1922559558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G SUDDUTH CFO 907-458-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 1043161) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-10-02 |