| NPI | 1942352117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E ERICKSON Owner 907-561-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 725) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |