Organization
FAIRBANKS FOOT & ANKLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH SYLVAN DIXON DPM (OWNER/PRESIDENT)
(907) 451-9202
Entity
Organization
Contact information
Practice address
1405 KELLUM ST., STE 200, FAIRBANKS, AK 99701
(907) 451-9202
(907) 452-6256
Mailing address
1405 KELLUM ST., STE 200, FAIRBANKS, AK 99701
(907) 451-9202
(907) 452-6256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2810
AK
213ES0103X
Foot & Ankle Surgery Podiatrist
2810
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD2810
—
AK
Enumeration date
08/24/2010
Last updated
08/24/2010
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