Banner Health Physicians Alaska LLC

NPI #1962803908 in Fairbanks, Alaska

Provider Information

NPI Number
1962803908
Entity Type
Organization
Organization Name
Banner Health Physicians Alaska LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Sep 9, 2014
Last Updated
Sep 11, 2014

Practice Location

Address
1001 NOBLE ST
State
Alaska
ZIP Code
99701-4948
Phone
(907) 459-3507

Authorized Official

Name
DENNIS DAHLEN
Title
SR VP FINANCE
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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