Interior Alaska Orthopedic & Sports Medicine Inc in Fairbanks - Specialist
Interior Alaska Orthopedic & Sports Medicine Inc - NPI 1386815678
Interior Alaska Orthopedic & Sports Medicine Inc is a Specialist in Fairbanks, Alaska. Interior Alaska Orthopedic & Sports Medicine Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Interior Alaska Orthopedic & Sports Medicine Inc is 1386815678. The last update date is 2012-03-27.
Interior Alaska Orthopedic & Sports Medicine Inc's current location address is 2310 Peger Rd Ste 105, Fairbanks, Alaska. You can contact this provider via phone number 9074792663 and fax number 9074792691. The mailing address for Interior Alaska Orthopedic & Sports Medicine Inc is 2310 Peger Rd Ste 105, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interior Alaska Orthopedic & Sports Medicine Inc |
|---|---|
| Address | 2310 Peger Rd Ste 105, Fairbanks, Alaska |
| Phone Number | 9074792663 |
| Fax Number | 9074792691 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTER |
|---|---|
| Authorized Official Name | Wade A Mark |
| Credentials | MD |
| Telephone Number | 9074792663 |
NPI Number Detail
| NPI Number | 1386815678 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 2310 Peger Rd Ste 105 |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997095305 |
| Phone Number | 9074792663 |
| Fax Number | 9074792691 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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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What is the unique provider identifier assigned to Interior Alaska Orthopedic & Sports Medicine Inc?
The Interior Alaska Orthopedic & Sports Medicine Inc has been issued the NPI (National Provider Identifier) 1386815678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Interior Alaska Orthopedic & Sports Medicine Inc's physical address?
The Interior Alaska Orthopedic & Sports Medicine Inc is physically located at 2310 Peger Rd Ste 105, in the city of Fairbanks, AK, with the postal code 997095305.
What is Interior Alaska Orthopedic & Sports Medicine Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Interior Alaska Orthopedic & Sports Medicine Inc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386815678 to Interior Alaska Orthopedic & Sports Medicine Inc?
The Interior Alaska Orthopedic & Sports Medicine Inc received its 1386815678 assignment from the Centers for Medicare & Medicaid Services on 2008-03-14.
When was the information regarding Interior Alaska Orthopedic & Sports Medicine Inc most recently updated?
The details pertaining to the Interior Alaska Orthopedic & Sports Medicine Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-03-27.
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