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1962539775
PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
ANCHORAGE, AK
NPI
1962539775
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Entity Type
Organization
Authorized Contact
CHARLES ALLAN PRATT
Manager
907-276-5517
Organization Subpart ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
Enumeration Date
2007-02-28
Last Update Date
2007-10-16
Business Address
PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
3340 PROVIDENCE DR SUITE 567
ANCHORAGE, AK 99508-4616
Phone number: 907-276-5517
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Mailing Address
PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
3340 PROVIDENCE DR SUITE 567
ANCHORAGE, AK 99508-4616
Phone number: 907-276-5517
Copy
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