Fairbanks Foot & Ankle Inc. | |
1405 Kellum St., Ste 200, Fairbanks, AK 99701 | |
(907) 451-9202 | |
(907) 452-6256 |
Full Name | Fairbanks Foot & Ankle Inc. |
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Type | Facility |
Speciality | Podiatrist |
Location | 1405 Kellum St., 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 |
---|---|---|---|
1659687945 | NPI | - | NPPES |
PD2810 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 2810 (Alaska) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 2810 (Alaska) | Secondary |
Provider Name | Ralph S Dixon |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558498402 PECOS PAC ID: 9638294069 Enrollment ID: I20100908001129 |
Provider Name | Dustin Randall Hubbard |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1306279724 PECOS PAC ID: 1254610355 Enrollment ID: I20170407000117 |
Mailing Address | Practice Location Address |
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Fairbanks Foot & Ankle Inc. 1405 Kellum St., Ste 200, Fairbanks, AK 99701 Ph: (907) 451-9202 | Fairbanks Foot & Ankle Inc. 1405 Kellum St., Ste 200, Fairbanks, AK 99701 Ph: (907) 451-9202 |
Dr. Manx Quayle, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701 Phone: 907-456-3668 Fax: 907-456-8637 | |
Aurora Foot & Ankle Surgical Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1626 30th Ave Ste 202, Fairbanks, AK 99701 Phone: 901-456-3668 Fax: 901-456-8637 | |
Dr. Dustin Randall Hubbard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Kellum St Ste 200, Fairbanks, AK 99701 Phone: 907-451-9202 | |
Dr. Ralph Sylvan Dixon, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1405 Kellum St, Suite 200, Fairbanks, AK 99701 Phone: 907-451-9202 Fax: 907-452-6256 |