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Organization

JOSEPH C. LIVENGOOD, M.D., PROF. LLC

Active
Other names
Joseph C Livengood, MD, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LIVENGOOD MD (MEMBER)
(907) 370-2533
Entity
Organization

Contact information

Practice address
1979 PEGER RD, FAIRBANKS, AK 99709-5257
(907) 370-2533
Mailing address
759 HAIDA LN, FAIRBANKS, AK 99712-2925
(907) 370-2533

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
07/19/2021
Last updated
12/01/2021
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