Individual
TONY JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 452-0800
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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