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PACIFIC PEDIATRICS LLC NPI 1629543046


NPI Information

NPI: 1629543046
Provider Name: PACIFIC PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
63 HIGGINS SPUR
KETCHIKAN, AK
ZIP 99901
Phone: (313) 300-8189
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PACIFIC PEDIATRICS, LLC is a pediatrics in Ketchikan, AK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PACIFIC PEDIATRICS, LLC NPI is 1629543046. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

63 HIGGINS SPUR
KETCHIKAN, AK
ZIP 99901-442
Phone: (313) 300-8189
Fax: (907) 225-8189

The provider's authorized official is Elisa Marie Rosier .
The authorized official title is Pediatrician/owner and has the following contact phone number (313) 300-8189.

The enumeration date for this NPI number is 10/11/2018 and was last updated on 10/11/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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