| Pacific Pediatrics, Llc | |
|
602 Js St Unit#1 Craig AK 99921-9992 | |
| (313) 300-8189 | |
| (833) 887-4972 |
| Full Name | Pacific Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 602 Js St, Craig, Alaska |
| Authorized Official Name and Position | Elisa Marie Rosier (PEDIATRICIAN/OWNER) |
| Authorized Official Contact | 3133008189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Pediatrics, Llc Po Box 181 Craig AK 99921-0181 Ph: (313) 300-8189 | Pacific Pediatrics, Llc 602 Js St Unit#1 Craig AK 99921-9992 Ph: (313) 300-8189 |
| NPI Number | 1477029767 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477029767 | NPI | - | NPPES |
| 1009328 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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