is a Specialist in Fairbanks, Alaska. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1790995652. The last update date is .
's current location address is 1020 Barnette St, Fairbanks, Alaska. You can contact this provider via phone number 9074564003. The mailing address for is 1020 Barnette St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1020 Barnette St, Fairbanks, Alaska |
| Phone Number | 9074564003 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790995652 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1020 Barnette St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997014502 |
| Phone Number | 9074564003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1661 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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