| NPI | 1982721981 |
|---|---|
| Doing Business As | HEART OF WILLOW MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BEATY Billing Agent 907-770-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |