Heather L. Woller, M.D., LLC
Specialist in Fairbanks, AK. Organization (NPI-2).
NPI number1154578490
StatusActive
Last updated in NPPESAug 19, 2008
Details
- NPI
- 1154578490
- Entity type
- Organization (NPI-2)
- Legal business name
- Heather L. Woller, M.D., LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2008
- Last updated
- Aug 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 6149 | AK | Yes |
Practice location
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-687-0672
Mailing address
Po Box 84315Fairbanks, AK 99708-4315
Phone 907-687-0672
Authorized official
Heather L Woller
Owner
9076870672
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