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Organization
JOHN W. JOOSSE, MD A PC
Active
Organization
JOHN W. JOOSSE, MD A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W JOOSSE MD (OWNER)
(907) 456-5803
Entity
Organization
Contact information
Practice address
1411 19TH AVE, FAIRBANKS, AK 99701-5902
(907) 456-5803
Mailing address
1411 19TH AVE, FAIRBANKS, AK 99701-5902
(907) 456-5803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
980
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0980
—
AK
Enumeration date
04/10/2008
Last updated
04/30/2008
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