Organization
ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL EVERSON DO (MEMBER MANAGER)
(907) 479-2663
Entity
Organization
Contact information
Practice address
2310 PEGER RD STE 105, FAIRBANKS, AK 99709-5305
(907) 479-2663
(907) 479-2691
Mailing address
2310 PEGER RD STE 105, FAIRBANKS, AK 99709-5305
(907) 479-2663
(907) 479-2691
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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