Fairbanks Vascular Surgery

NPI #1972240562 in Fairbanks, Alaska

Provider Information

NPI Number: 1972240562
Entity Type: Organization
Organization Name: Fairbanks Vascular Surgery
Primary Specialty: Clinic/Center
Enumeration Date: May 16, 2022
Last Updated: Jun 21, 2022

Practice Location

Address: 2485 CHIEF WILLIAM DR STE 100
City: Fairbanks
State: Alaska
ZIP Code: 99709-4873
Phone: (907) 328-0965

Authorized Official

Name: HARDEEP REDDICK, PA
Title: OWNER
Phone: (408) 800-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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