Colleen Personett, Od, LLC

NPI #1588800817 in Fairbanks, Alaska

Provider Information

NPI Number: 1588800817
Entity Type: Organization
Organization Name: Colleen Personett, Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2008
Last Updated: Dec 16, 2008

Practice Location

Address: 570 RIVERSTONE WAY
Address 2: SUITE 3
City: Fairbanks
State: Alaska
ZIP Code: 99709-2939
Phone: (907) 479-4700

Authorized Official

Name: DR. COLLEEN PERSONETT, OD
Title: OWNER
Phone: (907) 479-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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