| NPI | 1932744836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA E WORKMAN DC CEO 907-357-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-30 |