A4 Specialty Medical Group Fairbanks LLC

NPI #1134990336 in Fairbanks, Alaska

Provider Information

NPI Number
1134990336
Entity Type
Organization
Organization Name
A4 Specialty Medical Group Fairbanks LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BIOMATRIX SPECIALTY PHARMACY, LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jan 16, 2024
Last Updated
Nov 14, 2025

Practice Location

Address
282 BENTLEY TRUST ROAD SUITE B
State
Alaska
ZIP Code
99701
Phone
(907) 744-1944

Authorized Official

Name
EDWARD P KRAMM
Title
CHIEF EXECUTIVE OFFICER
Phone
(913) 515-6719

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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