Organization
ALASKA INTERNAL MEDICINE & PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE L O'FALLON M.D. (OWNER)
(907) 770-7800
Entity
Organization
Contact information
Practice address
4048 LAUREL ST STE 306, ANCHORAGE, AK 99508-5391
(907) 770-7800
(907) 929-4660
Mailing address
4048 LAUREL ST STE 306, ANCHORAGE, AK 99508-5391
(907) 770-7800
(907) 929-4660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2342
AK
174400000X
Specialist
AA3566
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710958061
MONTANO (NPI)
AK
01
—
1902877251
O'FALLON (NPI)
AK
05
—
MD2282
—
AK
05
—
MD7864
—
AK
Enumeration date
02/02/2007
Last updated
06/26/2008
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