Organization
LASER VEIN CENTER OF FAIRBANKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD IVES MD (MANAGER)
(907) 452-8346
Entity
Organization
Contact information
Practice address
506 GAFFNEY RD, SUITE 300, FAIRBANKS, AK 99701-4914
(907) 452-8346
(907) 451-8346
Mailing address
PO BOX 440, ESTER, AK 99725-0440
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
903255
AK
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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