Tanana Valley Clinic

NPI #1104067560 in Fairbanks, Alaska

Provider Information

NPI Number
1104067560
Entity Type
Organization
Organization Name
Tanana Valley Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 16, 2009
Last Updated
Mar 16, 2009

Practice Location

Address
1001 NOBLE ST
State
Alaska
ZIP Code
99701-4922
Phone
(907) 459-3500

Authorized Official

Name
DENNIS DAHLEN
Title
SR VP FINANCE
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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