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NPI Code Detail

MEDICARE: PENINSULA ALLERGY & ASTHMA CENTER LLC

MEDICARE: PENINSULA ALLERGY & ASTHMA CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician

General Provider Information

NPI Number : 1659234847
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENINSULA ALLERGY & ASTHMA CENTER LLC
Provider Business Mailing Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-2229
Fax Number : 907-420-0902
Provider Business Practice Location Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-2229
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : KRISTINA JAMES
Credential : MD
Telephone Number : 907-262-2229
Provider Enumeration Date : 12/04/2025
Last Update Date : 01/13/2026

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Directions to “PENINSULA ALLERGY & ASTHMA CENTER LLC ” Practice Location

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