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Contact Information

FAIRBANKS SURGERY, LLC
1919 LATHROP ST STE 204
FAIRBANKS, AK99701-5942
 Phone: 907-452-8151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for FAIRBANKS SURGERY, LLC

NPI # 1790017291
LBN Legal business name FAIRBANKS SURGERY, LLC
Authorized official WILLIAM MONTANO - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2010
Last updated 12/17/2010 - About 15 years ago
Identifiers
AK License # MD1335
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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