Laser Vein Center of Fairbanks, LLC

NPI #1235371360 in Fairbanks, Alaska

Provider Information

NPI Number: 1235371360
Entity Type: Organization
Organization Name: Laser Vein Center of Fairbanks, LLC
Primary Specialty: Phlebology
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 506 GAFFNEY RD
Address 2: SUITE 300
City: Fairbanks
State: Alaska
ZIP Code: 99701-4914
Phone: (907) 452-8346

Authorized Official

Name: DONALD IVES, MD
Title: MANAGER
Phone: (907) 452-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Phlebology	202K00000X	Primary

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