# GLACIER PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558500694
- **Authorized official:** MARYELLEN AROVOLD (ADVANCED NURSE PRACTIONER)
- **Authorized official phone:** (907) 586-1542

## Contact information

- **Practice address:** 1600 GLACIER AVE, JUNEAU, AK 99801-1430
- **Practice address phone:** (907) 586-1542
- **Practice address fax:** (907) 586-1849
- **Mailing address:** 1600 GLACIER AVE, JUNEAU, AK 99801-1430
- **Mailing address phone:** (907) 586-1542
- **Mailing address fax:** (907) 586-1849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 17 | AK | Yes |

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 02/12/2009