| Glacier Pediatrics, Llc | |
|
1600 Glacier Ave Juneau AK 99801-1430 | |
| (907) 586-1542 | |
| (907) 586-1849 |
| Full Name | Glacier Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1600 Glacier Ave, Juneau, Alaska |
| Authorized Official Name and Position | Maryellen Arovold (ADVANCED NURSE PRACTIONER) |
| Authorized Official Contact | 9075861542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacier Pediatrics, Llc 1600 Glacier Ave Juneau AK 99801-1430 Ph: (907) 586-1542 | Glacier Pediatrics, Llc 1600 Glacier Ave Juneau AK 99801-1430 Ph: (907) 586-1542 |
| NPI Number | 1558500694 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558500694 | NPI | - | NPPES |
| MD3544 | Medicaid | AK | |
| MD14482 | Medicaid | AK | |
| NP1539 | Medicaid | AK | |
| MD52881 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17 (Alaska) | Primary |
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› Verified 5 days ago
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