Tanana Valley Medical Surgical Group INC

NPI #1184691743 in Fairbanks, Alaska

Provider Information

NPI Number: 1184691743
Entity Type: Organization
Organization Name: Tanana Valley Medical Surgical Group INC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 2, 2006
Last Updated: May 24, 2012

Practice Location

Address: 1001 NOBLE ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-4922
Phone: (907) 459-3507

Authorized Official

Name: MR. JAMES SHILL, MBA
Title: CEO
Phone: (907) 459-3509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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