Organization
NICK SARRIMANOLIS, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK SARRIMANOLIS M.D. (OWNER)
(907) 451-1174
Entity
Organization
Contact information
Practice address
1867 AIRPORT WAY STE 145B, FAIRBANKS, AK 99701-4055
(907) 451-1174
(907) 451-1173
Mailing address
1867 AIRPORT WAY STE 145B, FAIRBANKS, AK 99701-4055
(907) 451-1174
(907) 451-1173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4668
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4668
AK STATE LICENSE
AK
05
—
MD42851
—
AK
Enumeration date
12/10/2007
Last updated
09/13/2013
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