Organization
THE CHILDRENS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD TULIP MD (PRESIDENT)
(907) 562-2944
Entity
Organization
Contact information
Practice address
4001 DALE ST, STE 213, ANCHORAGE, AK 99508-5496
(907) 562-2944
(907) 562-6321
Mailing address
4001 DALE ST, STE 213, ANCHORAGE, AK 99508-5496
(907) 562-2944
(907) 562-6321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26446
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0120
—
AK
Enumeration date
12/19/2005
Last updated
10/05/2011
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