| Arctic Pain Relief Center, Llc | |
|
1901 Airport Way Ste 102 Fairbanks AK 99701-4049 | |
| (907) 374-1357 | |
| (907) 374-1356 |
| Full Name | Arctic Pain Relief Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1901 Airport Way Ste 102, Fairbanks, Alaska |
| Authorized Official Name and Position | Kyle Bergquist (OWNER) |
| Authorized Official Contact | 2067134721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Pain Relief Center, Llc Po Box 1190 Silverdale WA 98383-1190 Ph: () - | Arctic Pain Relief Center, Llc 1901 Airport Way Ste 102 Fairbanks AK 99701-4049 Ph: (907) 374-1357 |
| NPI Number | 1770933871 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770933871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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