Individual
DR. MANX QUAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1626 30TH AVE STE 202, SUITE 202, FAIRBANKS, AK 99701-7423
(907) 456-3668
(907) 456-8637
Mailing address
1626 30TH AVE STE 202, SUITE 202, FAIRBANKS, AK 99701-7423
(907) 456-3668
(907) 456-8637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5079
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD4324
—
AK
Enumeration date
02/22/2006
Last updated
03/07/2023
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