Organization
FAIRBANKS MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T BURKE M.D. (PHYSICIAN)
(360) 424-6161
Entity
Organization
Contact information
Practice address
2310 PEGER RD, SUITE 102, FAIRBANKS, AK 99709-5305
(360) 424-6161
(360) 848-1167
Mailing address
1320 E DIVISION ST, MOUNT VERNON, WA 98274-4133
(360) 424-6161
(360) 848-1167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
03/27/2012
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