Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Gastroenterology of Alaska, LLC

Organization Pediatric Gastroenterology Physician · NPI 1962539775

Pediatric Gastroenterology of Alaska, LLC provides Pediatric Gastroenterology Physician services in Anchorage, Alaska. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3340 Providence Dr Ste 567
Anchorage, AK 99508-4616 Not confirmed with CMS for 18 years — call before visiting
Phone: (907) 276-5517
Fax: (907) 279-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1962539775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Pratt — Manager · (907) 276-5517
NPI enumeratedFebruary 28, 2007
Last updated in NPPESOctober 16, 2007
Mailing address3340 Providence Dr, Suite 567, Anchorage, AK 99508-4616

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