A Fine Place

Specialty details in registry · Wasilla, AK

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At a glance

1414 N Pioneer Peak Dr, Wasilla, AK 99654-5924

NPPES record updated Mar 14, 2018. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1414 N Pioneer Peak Dr
Wasilla, AK 99654-5924
Professional details: NPI, taxonomy & registry record
NPI1861995946
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3104A0625X
Enumeration date
Mar 14, 2018
Record updated
Mar 14, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3104A0625X · Primary

License reported: 101258 AK

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1414 N Pioneer Peak Dr
Wasilla, AK 99654-5924
Phone
(907) 841-3463
Mailing address
1414 N PIONEER PEAK DR

WASILLA, AK 996545924
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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