NPI 1164942314

Ptarmigan Connections, LLC

Organisation Pediatrics Physician Wasilla, AK

Practice location

Address: 3505 E Meridian Park Loop Suite 200, Wasilla, AK 99654
Phone: (907) 357-4543
Mailing address: 3543 E Meridian Park Loop STE a, Wasilla, AK 99654-7294

Authorised official

Name: Bobbi S Kousoulos
Title: Practice Administrator
Phone: (907) 357-4543

Registered specialties (4)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Alaska →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1164942314
Entity type: Organization
NPI issued: 20 Jun 2017
Record last updated: 20 Jun 2017

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.