| Nick Sarrimanolis, M.d. Llc | |
|
1867 Airport Way Ste 145b Fairbanks AK 99701-4055 | |
| (907) 451-1174 | |
| (907) 451-1173 |
| Full Name | Nick Sarrimanolis, M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1867 Airport Way Ste 145b, Fairbanks, Alaska |
| Authorized Official Name and Position | Nick Sarrimanolis (OWNER) |
| Authorized Official Contact | 9074511174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nick Sarrimanolis, M.d. Llc 1867 Airport Way Ste 145b Fairbanks AK 99701-4055 Ph: (907) 451-1174 | Nick Sarrimanolis, M.d. Llc 1867 Airport Way Ste 145b Fairbanks AK 99701-4055 Ph: (907) 451-1174 |
| NPI Number | 1760665012 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 09/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760665012 | NPI | - | NPPES |
| 4668 | Other | AK | AK STATE LICENSE |
| MD42851 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4668 (Alaska) | Primary |
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