| |
1275 Sadler Way Ste 104, Fairbanks, AK 99701-3175 | |
(907) 452-3600 | |
(907) 452-3695 |
Full Name | |
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Type | Facility |
Speciality | Naturopath |
Location | 1275 Sadler Way Ste 104, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215983259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
175F00000X | Naturopath | (* (Not Available)) | Primary |
Provider Name | Shawna Anne Victorino |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740476126 PECOS PAC ID: 1850477787 Enrollment ID: I20080318000588 |
Provider Name | Billy D.c. Mcafee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306839477 PECOS PAC ID: 7719876697 Enrollment ID: I20130201000028 |
Mailing Address | Practice Location Address |
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104 Kutter Rd, Fairbanks, AK 99701-3169 Ph: (907) 452-3600 | 1275 Sadler Way Ste 104, Fairbanks, AK 99701-3175 Ph: (907) 452-3600 |