| NPI | 1972552891 |
|---|---|
| Former Legal Business Name | ALYESKA CENTER FOR FACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | TODD PARRISH Secretary / Treasurer 907-563-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-06-11 |