Individual provider · NPI-1

Alisa Jocelyn Alexander, M.D.

Family Medicine · Fairbanks, AK

NPI number1215207253
StatusActive
Last updated in NPPESDec 20, 2016

Details

NPI
1215207253
Entity type
Individual (NPI-1)
Name
Alisa Jocelyn Alexander
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 9, 2012
Last updated
Dec 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine7468AKYes

Other names

  • Alisa Jocelyn Kelly (Other Name)

Practice location

1717 W Cowles St
Fairbanks, AK 99701-5926

Phone 907-451-6682 · Fax 907-459-3811

Mailing address

1717 W Cowles St
Fairbanks, AK 99701-5926

Phone 907-451-6682 · Fax 907-459-3811

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