Individual
RICHARD ELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 5TH AVE, FAIRBANKS, AK 99701-5026
(907) 456-2244
Mailing address
308 5TH AVE, FAIRBANKS, AK 99701-5026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
128
AK
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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