Individual
MILAN BAJMOCZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COWLES STREET, MEDICAL STAFF SVCS, FAIRBANKS, AK 99701
(907) 452-8181
Mailing address
1122 SUNSET DR, FAIRBANKS, AK 99709-4744
(907) 452-8181
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
240421
MA
2086S0129X
Vascular Surgery Physician
Primary
MEDS8033
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1614811
—
AK
Enumeration date
06/08/2009
Last updated
07/12/2022
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