Organization
ALASKA PEDIATRIC SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRENT ROATEN MD (PRESIDENT)
(907) 717-9871
Entity
Organization
Contact information
Practice address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 929-7337
(907) 929-7330
Mailing address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 929-7337
(907) 929-7330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
02/04/2026
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