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Individual

ALFRED DAVID DERAMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4001 GEIST RD, STE 9, FAIRBANKS, AK 99709-3569
(907) 479-0852
(907) 479-0859
Mailing address
4001 GEIST RD, STE 9, FAIRBANKS, AK 99709-3569
(907) 479-0852
(907) 479-0859

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD1850
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD1850
AK
Enumeration date
06/21/2005
Last updated
11/17/2009
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