Individual
DR. ERIC A. NIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 WESTPOINT DR, SUITE 302, WASILLA, AK 99654-7142
(907) 357-3850
(907) 357-3851
Mailing address
851 WESTPOINT DR, SUITE 302, WASILLA, AK 99654-7142
(907) 357-3850
(907) 357-3851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3639
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA3639
—
AK
01
—
ENLXEXOPJ
FAA
AK
Enumeration date
07/09/2005
Last updated
10/01/2012
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