Full Spectrum Pediatrics, Pc | |
2841 Debarr Rd Bldg A, Suite 23 Anchorage AK 99508-2958 | |
(907) 677-1864 | |
(907) 868-5167 |
Full Name | Full Spectrum Pediatrics, Pc |
---|---|
Speciality | Clinic/center |
Location | 2841 Debarr Rd, Anchorage, Alaska |
Authorized Official Name and Position | Stephen Scott Baker (PRESIDENT) |
Authorized Official Contact | 9076771864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Full Spectrum Pediatrics, Pc 2841 Debarr Rd Bldg A, Suite 23 Anchorage AK 99508-2958 Ph: (907) 677-1864 | Full Spectrum Pediatrics, Pc 2841 Debarr Rd Bldg A, Suite 23 Anchorage AK 99508-2958 Ph: (907) 677-1864 |
NPI Number | 1639463953 |
---|---|
Provider Enumeration Date | 06/03/2011 |
Last Update Date | 06/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639463953 | NPI | - | NPPES |
3255 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 4587 (Alaska) | Primary |
News Archive
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