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 | 2024-11-12 |