Organization
ARCTIC PHYSICAL MEDICINE BARROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JAMES PETERSEN DC (OWNER)
(907) 852-3099
Entity
Organization
Contact information
Practice address
1655 OKPIK ST, BARROW, AK 99723
(907) 852-3099
(907) 852-3225
Mailing address
4000 W DIMOND BLVD, SUITE 4, ANCHORAGE, AK 99502-1475
(907) 852-3099
(907) 852-3225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 106041
AK
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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