Fairbanks Psychiatric and Neurological Clinic a Prof Corp

NPI #1518075100 in Fairbanks, Alaska

Provider Information

NPI Number: 1518075100
Entity Type: Organization
Organization Name: Fairbanks Psychiatric and Neurological Clinic a Prof Corp
Primary Specialty: Psychiatry & Neurology - Neurology
Enumeration Date: Aug 25, 2006
Last Updated: Jan 16, 2019

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 220
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 452-1739

Authorized Official

Name: JOSEPH E BEATY
Title: BILLING AGENT
Phone: (907) 770-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X	Primary

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