Joseph C. Livengood, M.D., Prof. LLC
Clinic/Center, Emergency Care in Fairbanks, AK. Organization (NPI-2).
NPI number1689247652
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1689247652
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph C. Livengood, M.D., Prof. LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0002X | Clinic/Center, Emergency Care | – | – | Yes |
Other names
- Joseph C Livengood, MD, PLLC (Doing Business As)
Practice location
1979 Peger RdFairbanks, AK 99709-5257
Phone 907-370-2533
Mailing address
759 Haida LnFairbanks, AK 99712-2925
Phone 907-370-2533
Other practice locations
534 Ridge Rd
Nederland, CO 80466-9714
Nederland, CO 80466-9714
Phone 907-370-2533
1513 Gaffney Rd
Fort Wainwright, AK 99703-1366
Fort Wainwright, AK 99703-1366
Phone 907-370-2533
1541 Gaffney Rd
Fort Wainwright, AK 99703-1366
Fort Wainwright, AK 99703-1366
Phone 907-370-2533
Authorized official
Joseph Livengood
Member
9073702533
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