Organization
PEDIATRIC NEUROLOGY CLINIC OF ALASKA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERIC SMITH III M.D. (PRESIDENT)
(907) 562-6310
Entity
Organization
Contact information
Practice address
2401 E 42ND AVE, SUITE 306, ANCHORAGE, AK 99508-5228
(907) 562-6300
(907) 562-6305
Mailing address
2401 E 42ND AVE, SUITE 306, ANCHORAGE, AK 99508-5228
(907) 562-6300
(907) 562-6305
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4904
AK
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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