NPI 1366580912

Alaska Internal Medicine & Pediatrics LLC

Organisation Specialist Anchorage, AK

Practice location

Address: 4048 Laurel St STE 306, Anchorage, AK 99508-5391
Phone: (907) 770-7800
Fax: (907) 929-4660

Authorised official

Name: Michele L O'Fallon
Title: Owner
Phone: (907) 770-7800

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2342 (AK)

Other Specialist providers in Alaska →

Specialist

Other Service Providers Taxonomy 174400000X Licence AA3566 (AK)

Registry record

NPI: 1366580912
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 26 Jun 2008

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.