Organization
PACIFIC PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA MARIE ROSIER MD (PEDIATRICIAN/OWNER)
(313) 300-8189
Entity
Organization
Contact information
Practice address
602 JS ST, UNIT#1, CRAIG, AK 99921-9992
(313) 300-8189
(833) 887-4972
Mailing address
PO BOX 181, CRAIG, AK 99921-0181
(313) 300-8189
(833) 887-4972
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009328
—
AK
Enumeration date
10/15/2018
Last updated
05/12/2022
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