Organization
MOONGANG INC
Active
Other names
Fairbanks Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIE HORSTER DERAMUS MD (PRESIDENT)
(907) 452-2178
Entity
Organization
Contact information
Practice address
1867 AIRPORT WAY, STE 130B, FAIRBANKS, AK 99701-4056
(907) 452-2178
(907) 452-3524
Mailing address
1867 AIRPORT WAY, STE 130B, FAIRBANKS, AK 99701-4056
(907) 452-2178
(907) 452-3524
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
06/25/2008
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