Organization
FIRESIDE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART WORTHINGTON MD (OWNER)
(606) 234-5183
Entity
Organization
Contact information
Practice address
2957 SANTA PATRICIA CT, NORTH POLE, AK 99705-6138
(907) 385-0257
(907) 385-0249
Mailing address
2957 SANTA PATRICIA CT, NORTH POLE, AK 99705-6138
(907) 385-0257
(907) 385-0249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/20/2021
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