Individual
PAUL L JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 PEGER RD, STE 106, FAIRBANKS, AK 99709-5305
(907) 456-3876
(907) 456-3877
Mailing address
2310 PEGER RD, STE 106, FAIRBANKS, AK 99709-5305
(907) 456-3876
(907) 456-3877
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5626
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3333
—
AK
Enumeration date
06/09/2006
Last updated
04/12/2013
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