Fireside Family Medicine LLC

NPI #1831702455 in North Pole, Alaska

Provider Information

NPI Number: 1831702455
Entity Type: Organization
Organization Name: Fireside Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 24, 2020
Last Updated: Aug 20, 2021

Practice Location

Address: 2957 SANTA PATRICIA CT
City: North Pole
State: Alaska
ZIP Code: 99705-6138
Phone: (907) 385-0257

Authorized Official

Name: DR. BART WORTHINGTON, MD
Title: OWNER
Phone: (606) 234-5183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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