| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4587 (Alaska) | Primary |
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