NPI 1417075177

John Matthew de Pasquale, MDMPHDTMH

Practitioner Pediatrics Physician Fairbanks, AK

Practice location

Address: 1001 Noble St, Fairbanks, AK 99701-4922
Phone: (907) 459-3520
Fax: (907) 459-3554

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 7302 (AK)

Other Pediatrics providers in Alaska →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 041280 (GA)

Registry record

NPI: 1417075177
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2007
Record last updated: 7 Mar 2023

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.