Organization
FAIRBANKS COMMUNITY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCCORMICK M.D. (MANAGER)
(907) 563-3700
Entity
Organization
Contact information
Practice address
1314 22ND AVE., FAIRBANKS, AK 99701
(907) 563-3700
Mailing address
4100 LAKE OTIS PKWY STE 309, ANCHORAGE, AK 99508-5231
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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