Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Gastroenterology of Alaska, LLC

Organization Pediatric Gastroenterology Physician · NPI 1962539775

Pediatric Gastroenterology of Alaska, LLC is a Pediatric Gastroenterology Physician 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
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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