Ear Nose & Throat Clinic Inc.

NPI #1023179587 in Fairbanks, Alaska

Provider Information

NPI Number: 1023179587
Entity Type: Organization
Organization Name: Ear Nose & Throat Clinic Inc.
Primary Specialty: Otolaryngology
Enumeration Date: Dec 12, 2006
Last Updated: Dec 1, 2022

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 103
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 456-7768

Authorized Official

Name: SAM Y KIM, MD
Title: PRESIDENT
Phone: (907) 456-7768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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