Organization
MAT-SU COMMUNITY PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA M KRIMM M.D., F.A.A.P. (PRESIDENT/CHIEF MEDICAL OFFICER)
(907) 357-2955
Entity
Organization
Contact information
Practice address
3750 E. COUNTRY FIELD CIRCLE, SUITE C, WASILLA, AK 99654
(907) 357-2955
(907) 357-9348
Mailing address
3750 E. COUNTRY FIELD CIRCLE, SUITE C, WASILLA, AK 99654
(907) 357-2955
(907) 357-9348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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