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Individual

JIMMY M. TAMAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1275 SADLER WAY, STE 101, FAIRBANKS, AK 99701-3175
(907) 374-4463
(907) 374-7072
Mailing address
PO BOX 71179, FAIRBANKS, AK 99707-1179
(907) 374-4463
(907) 374-7072

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3104
AK
207X00000X
Orthopaedic Surgery Physician
AK3104
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD31041
AK
05
MD31042
AK
05
MDG049
AK
Enumeration date
08/18/2006
Last updated
03/22/2016
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