Organization
FAIRBANKS ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUSSELL FLORY MD (PRESIDENT)
(800) 945-9877
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5998
(800) 945-9877
(801) 432-2670
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 945-9877
(801) 432-2670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG720
—
AK
Enumeration date
07/20/2006
Last updated
11/09/2016
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