ALASKA INTERNAL MEDICINE & PEDIATRICS LLC NPI 1366580912

NPI Information

ALASKA INTERNAL MEDICINE & PEDIATRICS LLC is a specialist in Anchorage, AK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALASKA INTERNAL MEDICINE & PEDIATRICS LLC NPI is 1366580912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4048 LAUREL ST STE 306
ANCHORAGE, AK
ZIP 99508-391
Phone: (907) 770-7800
Fax: (907) 929-4660

The provider's authorized official is Michele L O'fallon .
The authorized official title is Owner and has the following contact phone number (907) 770-7800.

The CLIA number assigned to this NPI record is 02D0687680 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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