NPI 1003142621

Mat-Su Community Pediatrics, P.C.

Organisation Pediatrics Physician Wasilla, AK

Practice location

Address: 3750 E. Country Field Circle Suite C, Wasilla, AK 99654
Phone: (907) 357-2955
Fax: (907) 357-9348

Authorised official

Name: Tamara M Krimm
Title: President/Chief Medical Officer
Phone: (907) 357-2955

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Alaska →

Registry record

NPI: 1003142621
Entity type: Organization
NPI issued: 2 Nov 2009
Record last updated: 2 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.