Individual
DIANA L KOVACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 SADLER WAY STE 202, FAIRBANKS, AK 99701-3175
(907) 452-4101
Mailing address
1275 SADLER WAY STE 202, FAIRBANKS, AK 99701-3175
(907) 452-4101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12483
MT
207L00000X
Anesthesiology Physician
258939-1
NY
207L00000X
Anesthesiology Physician
Primary
7070
AK
207L00000X
Anesthesiology Physician
MD60178246
WA
Other
Enumeration date
07/16/2007
Last updated
09/30/2024
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