NPI | 1942323779 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT ALLEN URSEL CEO Physician Assistant 907-224-8733 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 202) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2011-04-13 |