| Forget Me Not Ultrasound | |
|
2054 #30th Avenue Fairbanks AK 99701-5720 | |
| (907) 987-7523 | |
| Not Available |
| Full Name | Forget Me Not Ultrasound |
|---|---|
| Speciality | Clinic/center |
| Location | 2054 #30th Avenue, Fairbanks, Alaska |
| Authorized Official Name and Position | Roxanne Ertel (CEO) |
| Authorized Official Contact | 7169844484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forget Me Not Ultrasound 3346 Dundee Loop North Pole AK 99705-7481 Ph: (907) 488-1995 | Forget Me Not Ultrasound 2054 #30th Avenue Fairbanks AK 99701-5720 Ph: (907) 987-7523 |
| NPI Number | 1407264328 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407264328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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