Organization
ADVENTURES IN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN IMPSON DO (PHYSICIAN/CO-OWNER)
(907) 373-7337
Entity
Organization
Contact information
Practice address
3719 E MERIDIAN LOOP, SUITE D, WASILLA, AK 99654-7273
(907) 373-7337
(907) 357-9029
Mailing address
3719 E MERIDIAN LOOP, SUITE D, WASILLA, AK 99654-7273
(907) 373-7337
(907) 357-9029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4300
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD10661
—
AK
Enumeration date
04/30/2012
Last updated
04/30/2012
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