Alcan Medical Group Llc | |
751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 | |
(303) 472-6424 | |
Not Available |
Full Name | Alcan Medical Group Llc |
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Type | Facility |
Speciality | Family Medicine |
Location | 751 Old Richardson Hwy Ste 203, 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 |
---|---|---|---|
1134739485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James H Price |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1306898705 PECOS PAC ID: 5092805002 Enrollment ID: I20071214000058 |
Provider Name | Casey Blood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396295374 PECOS PAC ID: 6608125893 Enrollment ID: I20180821003606 |
Provider Name | Kristy Blood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750824843 PECOS PAC ID: 8628404415 Enrollment ID: I20200217000102 |
Provider Name | Ashley Carolyn Brouwer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821256751 PECOS PAC ID: 2860566007 Enrollment ID: I20200331003835 |
Provider Name | Melinda Lee Turcotte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083203574 PECOS PAC ID: 2769882141 Enrollment ID: I20210608000592 |
Provider Name | Tiffany Jeanette Tate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285224220 PECOS PAC ID: 0244635233 Enrollment ID: I20210830002212 |
Provider Name | Brianna Kamiel Graham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174288286 PECOS PAC ID: 1759772726 Enrollment ID: I20211229002422 |
Provider Name | Joan M Digeorge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255102513 PECOS PAC ID: 4688011224 Enrollment ID: I20240319001937 |
Mailing Address | Practice Location Address |
---|---|
Alcan Medical Group Llc 751 Old Richardson Hwy Ste 101, Fairbanks, AK 99701-7802 Ph: (907) 328-0844 | Alcan Medical Group Llc 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 Ph: (303) 472-6424 |