Organization
FORGET ME NOT ULTRASOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE ERTEL BA,CNMT,RDMS (CEO)
(716) 984-4484
Entity
Organization
Contact information
Practice address
2054 #30TH AVENUE, FAIRBANKS, AK 99701-5720
(907) 987-7523
Mailing address
3346 DUNDEE LOOP, NORTH POLE, AK 99705-7481
(907) 488-1995
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
02/16/2016
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