Organization
MONIQUE PEDNAULT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE PEDNAULT (SOLE PROVIDER)
(907) 444-1749
Entity
Organization
Contact information
Practice address
3315 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(907) 277-2000
Mailing address
PO BOX 111116, ANCHORAGE, AK 99511-1116
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
102482
AK
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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