# GOLDEN HEART MEDICAL, LLC

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

## Provider details

- **NPI number:** 1770439549
- **Authorized official:** WENDY P BROPHY (CLINICAL MANAGER)
- **Authorized official phone:** (678) 986-6371

## Contact information

- **Practice address:** 1626 30TH AVE, SUITE 201, FAIRBANKS, AK 99701-5910
- **Practice address phone:** (678) 986-6371
- **Mailing address:** 1626 30TH AVE, SUITE 201, FAIRBANKS, AK 99701-5910
- **Mailing address phone:** (678) 986-6371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2026
- **Last updated:** 03/05/2026