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Organization

ERIC A NIMMO MD APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC A NIMMO MD APC (PRESIDENT)
(907) 357-3850
Entity
Organization

Contact information

Practice address
851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
(907) 357-3850
(907) 357-3851
Mailing address
851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
(907) 357-3850
(907) 357-3851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
408723
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B55382
UPIN
AK
05
MD1446
AK
Enumeration date
04/27/2012
Last updated
11/07/2013
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