Organization
PEDIATRIC RESOURCE CENTER OF ALASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHAL PACKA (EXECUTIVE MANAGER)
(907) 414-0203
Entity
Organization
Contact information
Practice address
1975 W CHURCH RIDGE DR, WASILLA, AK 99654-2102
(907) 414-9554
Mailing address
1975 W CHURCH RIDGE DR, WASILLA, AK 99654-2102
(907) 414-9554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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