Organization
UNIVERSITY WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD MILES (PRESIDENT)
(406) 788-8860
Entity
Organization
Contact information
Practice address
1875 UNIVERSITY AVE S, UNIT 1, FAIRBANKS, AK 99709-4906
(406) 788-8860
Mailing address
451 WILCOX AVE, FAIRBANKS, AK 99709-3623
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6498
AK
Other
Enumeration date
10/31/2012
Last updated
03/19/2013
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