Arctic Pain Management INC
Nurse Practitioner in Fairbanks, AK. Organization (NPI-2).
NPI number1063811255
StatusActive
Last updated in NPPESAug 14, 2014
Details
- NPI
- 1063811255
- Entity type
- Organization (NPI-2)
- Legal business name
- Arctic Pain Management INC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2014
- Last updated
- Aug 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | nuru1305 | AK | Yes |
Practice location
330 Old Steese HwyFairbanks, AK 99701-3126
Phone 206-459-4108
Mailing address
308 Old Steese HwyFairbanks, AK 99701-3126
Authorized official
Robert Lewis
Owner
2064594108
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