Organization
MC CHILDREN'S DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORMAC ARTHUR SOOKRAM MD (OWNER)
(970) 210-2944
Entity
Organization
Contact information
Practice address
9443 AYAGINAR DR., BETHEL, AK 99559
(970) 210-2944
Mailing address
PO BOX 465, BETHEL, AK 99559-0465
(970) 210-2944
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
01/23/2025
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