Individual
DR. RUTH NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.,P.C.
Contact information
Practice address
1867 AIRPORT WAY, SUITE 150-A, FAIRBANKS, AK 99701-4007
(907) 452-2131
Mailing address
1867 AIRPORT WAY, SUITE 150-A, FAIRBANKS, AK 99701-4007
(907) 452-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AA125
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0D01251
—
AK
Enumeration date
12/07/2006
Last updated
07/08/2007
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