| NPI | 1932784998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA CHRISTINA SAKATA Surgeon 907-350-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |