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Individual

DR. NIKOLAS I SARRIMANOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1867 AIRPORT WAY, STE 145 B, FAIRBANKS, AK 99701
(907) 451-1174
(907) 451-1173
Mailing address
1867 AIRPORT WAY, STE 145 B, FAIRBANKS, AK 99701
(907) 451-1174
(907) 451-1173

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4668
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4668
AK STATE LICENSE
AK
05
MD42851
AK
Enumeration date
04/06/2006
Last updated
09/13/2013
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