Eye Clinic of Fairbanks, INC

NPI #1003980525 in Fairbanks, Alaska

Provider Information

NPI Number: 1003980525
Entity Type: Organization
Organization Name: Eye Clinic of Fairbanks, INC
Primary Specialty: Ophthalmology
Enumeration Date: Nov 17, 2006
Last Updated: Jun 22, 2012

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 103
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 456-7760

Authorized Official

Name: RONALD W. ZAMBER, M.D.
Title: PRESIDENT
Phone: (907) 456-7760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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