Organization
FAIRBANKS ULTRASOUND, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN ZUCKERMAN MD (DIRECTOR)
(907) 456-7767
Entity
Organization
Contact information
Practice address
3419 AIRPORT WAY STE D, FAIRBANKS, AK 99709-4761
(907) 474-2002
(907) 474-1622
Mailing address
315 ILLINOIS ST, FAIRBANKS, AK 99701-2910
(907) 456-7767
(907) 456-8050
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
935916
AK
Other
Enumeration date
04/07/2010
Last updated
12/09/2010
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