Organization
AURORA PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JONATHAN JENSEN MD (OWNER)
(907) 457-5277
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, FAIRBANKS, AK 99701-5930
(907) 457-5277
(907) 457-5278
Mailing address
1919 LATHROP ST, SUITE 101, FAIRBANKS, AK 99701-5930
(907) 457-5277
(907) 457-5278
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
248277
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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