Organization
DR FAZZIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON FAZZIO III CHIROPRACTOR (OWNER)
(907) 456-3302
Entity
Organization
Contact information
Practice address
29 COLLEGE RD, SUITE 8B-1, FAIRBANKS, AK 99701-1739
(907) 456-3302
(907) 374-8060
Mailing address
29 COLLEGE RD, SUITE 8B-1, FAIRBANKS, AK 99701-1739
(907) 456-3302
(907) 374-8060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
166
AK
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/13/2012
Last updated
11/14/2023
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