Derek Fyten

NPI #1114118056 in Fairbanks, Alaska

Provider Information

NPI Number: 1114118056
Entity Type: Individual
Name: Derek Fyten
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 6, 2007
Last Updated: Apr 20, 2010

Practice Location

Address: 805 AIRPORT WAY
City: Fairbanks
State: Alaska
ZIP Code: 99701-6039
Phone: (907) 456-8901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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