Organization
FULL SPECTRUM PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SCOTT BAKER M.D. (PRESIDENT)
(907) 677-1864
Entity
Organization
Contact information
Practice address
2841 DEBARR RD, BLDG A, SUITE 23, ANCHORAGE, AK 99508-2958
(907) 677-1864
(907) 868-5167
Mailing address
2841 DEBARR RD, BLDG A, SUITE 23, ANCHORAGE, AK 99508-2958
(907) 677-1864
(907) 868-5167
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4587
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3255
—
AK
Enumeration date
06/03/2011
Last updated
06/03/2011
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