Pediatric Gastroenterology of Alaska, LLC

NPI #1962539775 in Anchorage, Alaska

Provider Information

NPI Number
1962539775
Entity Type
Organization
Organization Name
Pediatric Gastroenterology of Alaska, LLC
Primary Specialty
Pediatrics - Pediatric Gastroenterology
Enumeration Date
Feb 28, 2007
Last Updated
Oct 16, 2007

Practice Location

Address
3340 PROVIDENCE DR
Address 2
SUITE 567
State
Alaska
ZIP Code
99508-4616
Phone
(907) 276-5517

Authorized Official

Name
CHARLES ALLAN PRATT, M.D.
Title
MANAGER
Phone
(907) 276-5517

Specialties & Taxonomy Codes

Specialty
Pediatrics - Pediatric GastroenterologyPediatric Gastroenterology

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