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1053574293
PTARMIGAN PEDIATRICS LLC
WASILLA, AK
NPI
1053574293
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Entity Type
Organization
Authorized Contact
LAURA J PETERSON
Owner
907-357-4543
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
PTARMIGAN PEDIATRICS LLC
950 E BOGARD RD SUITE 233
WASILLA, AK 99654-7184
Phone number: 907-357-4543
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Mailing Address
PTARMIGAN PEDIATRICS LLC
20252 LUCAS AVE
EAGLE RIVER, AK 99577-8783
Phone number: 907-357-4543
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