Fairbanks Pain Consulting, LLC

NPI #1932436672 in Fairbanks, Alaska

Provider Information

NPI Number: 1932436672
Entity Type: Organization
Organization Name: Fairbanks Pain Consulting, LLC
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Nov 16, 2009
Last Updated: Nov 16, 2009

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 221
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 458-5638

Authorized Official

Name: DR. SHAN JIANG, M.D.
Title: PRESIDENT
Phone: (907) 458-5638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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