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Contact Information

MANX QUAYLE, DPM
1626 30TH AVE STE 202
SUITE 202
FAIRBANKS, AK99701-7423
 Phone: 907-456-3668
 Fax: 907-456-8637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MANX QUAYLE · (Male)

NPI Number 1023083870
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/22/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 5079
  • AK Medicaid PD4324
Hospital affiliation(s)
  • FAIRBANKS MEMORIAL HOSPITAL - (Acute Care)
    1650 COWLES STREET
    FAIRBANKS, AK 99701
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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