| Peter Marshall, M.d. | |
|
145 Santa Claus Lane North Pole AK 99705 | |
| (907) 488-4433 | |
| (907) 488-9253 |
| Full Name | Peter Marshall, M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 145 Santa Claus Lane, North Pole, Alaska |
| Authorized Official Name and Position | Peter Marshall (OWNER) |
| Authorized Official Contact | 9074884433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Marshall, M.d. Po Box 55919 North Pole AK 99705-0919 Ph: (907) 488-4433 | Peter Marshall, M.d. 145 Santa Claus Lane North Pole AK 99705 Ph: (907) 488-4433 |
| NPI Number | 1972795714 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972795714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1466 (Alaska) | Primary |
Fireside Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2957 Santa Patricia Ct, North Pole, AK 99705 Phone: 907-385-0257 Fax: 907-385-0249 |