Individual
DR. TODD CAPISTRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 458-2682
(907) 458-2628
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 458-2628
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5183
AK
207Q00000X
Family Medicine Physician
5183
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013836
—
AK
Enumeration date
05/22/2006
Last updated
03/07/2023
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