Individual
RICHARD JOSEPH SHERIDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4948
(907) 459-3500
(907) 459-3526
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4948
(907) 459-3507
(907) 459-3526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100254
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1630513
—
AK
Enumeration date
07/21/2008
Last updated
07/21/2022
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