Mat-Su Community Pediatrics, P.c.

NPI #1003142621 in Wasilla, Alaska

Provider Information

NPI Number: 1003142621
Entity Type: Organization
Organization Name: Mat-Su Community Pediatrics, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Nov 2, 2009
Last Updated: Nov 2, 2009

Practice Location

Address: 3750 E. COUNTRY FIELD CIRCLE
Address 2: SUITE C
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 357-2955

Authorized Official

Name: DR. TAMARA M KRIMM, M.D., F.A.A.P.
Title: PRESIDENT/CHIEF MEDICAL OFFICER
Phone: (907) 357-2955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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