Fairbanks Clinic INC

NPI #1073636148 in Fairbanks, Alaska

Provider Information

NPI Number
1073636148
Entity Type
Organization
Organization Name
Fairbanks Clinic INC
Primary Specialty
Clinic/Center
Enumeration Date
Apr 6, 2007
Last Updated
Dec 10, 2020

Practice Location

Address
1405 KELLUM ST STE 201
State
Alaska
ZIP Code
99701-4189
Phone
(907) 452-1761

Authorized Official

Name
DR. TONY NIMEH, MD
Title
OWNER
Phone
(617) 686-6809

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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