Individual
DR. LAURA BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3520
(907) 459-3526
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
47809
CO
208000000X
Pediatrics Physician
Primary
6588
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009375
—
AK
Enumeration date
01/26/2007
Last updated
03/07/2023
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