Organization
SOLSTICE MEDICINE & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ESCOBAR MD (OWNER)
(907) 978-5733
Entity
Organization
Contact information
Practice address
475 RIVERSTONE WAY STE 2, FAIRBANKS, AK 99709-2971
(907) 456-6334
(907) 456-6336
Mailing address
3875 GEIST RD STE E154, FAIRBANKS, AK 99709-3564
(907) 456-6334
(907) 456-6336
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1032552
AK
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011882
—
AK
Enumeration date
02/24/2016
Last updated
04/26/2024
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