| NPI | 1932229606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN J WILDER Owner/Physician 907-346-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-01-05 |