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Organization
ERIC A NIMMO MD APC
Active
Organization
ERIC A NIMMO MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A NIMMO MD APC (PRESIDENT)
(907) 357-3850
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
(907) 357-3850
(907) 357-3851
Mailing address
851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
(907) 357-3850
(907) 357-3851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
408723
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B55382
UPIN
AK
05
—
MD1446
—
AK
Enumeration date
04/27/2012
Last updated
11/07/2013
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