Individual
GEORGE PATRIC FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6800
(907) 543-7101
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4442
—
AK
Enumeration date
06/11/2010
Last updated
06/11/2010
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