Individual
DR. MARVIN R. ACQUISTAPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 451-7916
Mailing address
750 EASTVIEW DR, FAIRBANKS, AK 99712-2638
(907) 978-2734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
222
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023203
—
AK
05
—
OD0014
—
AK
Enumeration date
09/13/2006
Last updated
11/03/2017
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