| NPI | 1982047437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDERELLA TOLLEFSEN Executive Director 907-375-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AK 984564) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-06-20 |