Organization
ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KORSGREN (OFFICE MANAGER)
(907) 479-0852
Entity
Organization
Contact information
Practice address
4001 GEIST RD, SUITE 9, FAIRBANKS, AK 99709-3552
(907) 479-0852
(907) 479-0859
Mailing address
4001 GEIST RD, SUITE 9, FAIRBANKS, AK 99709-3552
(907) 479-0852
(907) 479-0859
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD1850
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1850
—
AK
Enumeration date
12/03/2009
Last updated
12/03/2009
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