Organization
FIREWEED PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETHA C ARCHER MD (MANAGER/OWNER)
(907) 328-0875
Entity
Organization
Contact information
Practice address
1875 UNIVERSITY AVE S STE 1, FAIRBANKS, AK 99709-4916
(907) 328-0875
(907) 328-0865
Mailing address
1875 UNIVERSITY AVE S STE 1, FAIRBANKS, AK 99709-4916
(907) 328-0875
(907) 328-0865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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