Individual
DR. SIV L FASCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3340 PROVIDENCE DR STE A567, ANCHORAGE, AK 99508-4695
(907) 212-8366
(907) 212-8499
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125264
AK
208000000X
Pediatrics Physician
L6882
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
125264
AK
2080P0006X
Developmental - Behavioral Pediatrics Physician
L6882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160063706
—
TX
Enumeration date
07/01/2006
Last updated
09/23/2020
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