Organization
PEDIATRIC SPECIALISTS OF ALASKA LLC
Active
Other names
B J Coopes, MD, LLC, Barbara J. Coopes, MD, Pediatric Specialists of Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LOVRICH (OWNER)
(907) 744-6046
Entity
Organization
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 744-6046
(509) 479-0214
Mailing address
10840 VOSIKOF PL, ANCHORAGE, AK 99507
(907) 744-6046
(509) 479-0214
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1046084
AK
208000000X
Pediatrics Physician
1046084
AK
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
1046084
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020927
—
AK
Enumeration date
08/25/2006
Last updated
08/17/2021
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