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Individual

DR. JOHN RICHARD MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1867 AIRPORT WAY, SUITE 120B, FAIRBANKS, AK 99701-4007
(907) 457-5050
(907) 457-5034
Mailing address
1867 AIRPORT WAY, SUITE 120B, FAIRBANKS, AK 99701-4007
(907) 457-5050
(907) 457-5034

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2974
AK

Other

Enumeration date
06/30/2006
Last updated
08/31/2007
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