National Provider Identifier Database

PEDIATRIC GASTROENTEROLOGY OF ALASKA LLC
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
3340 PROVIDENCE DR
SUITE 567
ANCHORAGE, AK99508-4616
Phone: 907-276-5517
Fax: 907-279-3655
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC

NPI Number 1962539775
Legal business name
LBN
PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
Authorized official CHARLES PRATT - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2007
Last updated 10/16/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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