Organization
FAIRBANKS MEMORIAL PHYSICIAN SPECIALITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 452-8181
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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