| Arctic Internal Medicine, Pb | |
|
2009 Cowles St Fairbanks AK 99701-5916 | |
| (907) 452-6610 | |
| (907) 452-5754 |
| Full Name | Arctic Internal Medicine, Pb |
|---|---|
| Speciality | Internal Medicine |
| Location | 2009 Cowles St, Fairbanks, Alaska |
| Authorized Official Name and Position | Gail Ellen Burger (OFFICE MANAGER) |
| Authorized Official Contact | 9074526610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Internal Medicine, Pb 2009 Cowles St Fairbanks AK 99701-5916 Ph: (907) 452-6610 | Arctic Internal Medicine, Pb 2009 Cowles St Fairbanks AK 99701-5916 Ph: (907) 452-6610 |
| NPI Number | 1649314071 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649314071 | NPI | - | NPPES |
| MD16211 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD1621 (Alaska) | Primary |
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