Individual
MARVIN C MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
Mailing address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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