# JOHN W. JOOSSE, MD A PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104099050
- **Authorized official:** JOHN W JOOSSE MD (OWNER)
- **Authorized official phone:** (907) 456-5803

## Contact information

- **Practice address:** 1411 19TH AVE, FAIRBANKS, AK 99701-5902
- **Practice address phone:** (907) 456-5803
- **Mailing address:** 1411 19TH AVE, FAIRBANKS, AK 99701-5902
- **Mailing address phone:** (907) 456-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 980 | AK | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD0980 | — | AK |