Individual
STEPHANIE GHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COWLES ST, SUITE 300, FAIRBANKS, AK 99701-5999
(907) 458-5178
(907) 458-5180
Mailing address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 459-3507
(907) 459-3532
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
464
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0008
—
AK
Enumeration date
02/20/2006
Last updated
03/07/2023
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