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Organization

ARCTIC MIDWIVES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA DUNHAM CDM, CPM (MIDWIFE)
(907) 456-3719
Entity
Organization

Contact information

Practice address
728 GAFFNEY RD STE 100, FAIRBANKS, AK 99701-4658
(907) 456-3719
(907) 456-1511
Mailing address
728 GAFFNEY RD STE 100, FAIRBANKS, AK 99701-4658
(907) 456-3719
(907) 456-1511

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
913507
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174792618
AK
05
1497888572
AK
05
1568595650
AK
05
1639200611
AK
Enumeration date
12/16/2009
Last updated
12/16/2009
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