Individual
DR. MARY CORDNER MACFARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 LATHROP ST, SUITE 100, FAIRBANKS, AK 99701-5930
(907) 452-1761
(907) 451-3321
Mailing address
1103 WILLOW GROUSE RD, FAIRBANKS, AK 99712-1247
(907) 457-3738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AA1161
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1161
—
AK
Enumeration date
11/27/2006
Last updated
03/07/2023
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