# FAIRBANKS CANCER CARE PHYSICIANS

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

## Provider details

- **NPI number:** 1386759470
- **Authorized official:** JACQUELINE COX MD (CO-OWNER)
- **Authorized official phone:** (907) 452-4768

## Contact information

- **Practice address:** 1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
- **Practice address phone:** (907) 452-4768
- **Practice address fax:** (907) 452-1009
- **Mailing address:** 1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
- **Mailing address phone:** (907) 452-4768
- **Mailing address fax:** (907) 452-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 926150 | AK | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 03/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD14421 | — | AK |
| 05 | — | MD6153 | — | AK |
| 05 | — | MD69431 | — | AK |
| 05 | — | MDG543 | — | AK |
| 05 | — | MPG0088 | — | AK |
| 05 | — | NP7619 | — | AK |