Organization
FAIRBANKS CANCER CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE COX MD (CO-OWNER)
(907) 452-4768
Entity
Organization
Contact information
Practice address
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
(907) 452-4768
(907) 452-1009
Mailing address
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
(907) 452-4768
(907) 452-1009
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
926150
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD14421
—
AK
05
—
MD6153
—
AK
05
—
MD69431
—
AK
05
—
MDG543
—
AK
05
—
MPG0088
—
AK
05
—
NP7619
—
AK
Enumeration date
08/20/2006
Last updated
03/26/2013
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