Organization
INTERIOR ALASKA ORTHOPEDIC & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A WADE MD (DOCTER)
(907) 479-2663
Entity
Organization
Contact information
Practice address
2310 PEGER RD STE 105, FAIRBANKS, AK 99709-5305
(907) 479-2663
(907) 479-2691
Mailing address
2310 PEGER RD STE 105, FAIRBANKS, AK 99709-5305
(907) 479-2663
(907) 479-2691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/27/2012
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