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Contact Information

NORTHERN ALASKA MEDICAL & SURGICAL ASSOC
1275 SADLER WAY
SUITE 102
FAIRBANKS, AK99701
 Phone: 907-451-6142
 Fax: 907-451-6284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHERN ALASKA MEDICAL SURGICAL ASSOC · (Female)

NPI Number 1306053665
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # AA2929
  • AK Medicaid MDG489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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