Organization
DENAPOLI ORTHOPEDIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DENAPOLI PA-C (OWNER/MANAGER)
(907) 347-8427
Entity
Organization
Contact information
Practice address
3419 AIRPORT WAY, SUITE D, FAIRBANKS, AK 99709-4761
(907) 328-2273
(907) 328-2276
Mailing address
3419 AIRPORT WAY, SUITE D, FAIRBANKS, AK 99709-4761
(907) 328-2273
(907) 328-2276
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1019666
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0141
—
AK
Enumeration date
06/09/2015
Last updated
06/09/2015
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