Organization
WHITE SPRUCE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY STACK (OFFICE MANAGER)
(907) 452-3600
Entity
Organization
Contact information
Practice address
1275 SADLER WAY STE 100, FAIRBANKS, AK 99701-3175
(907) 452-3600
(907) 452-3695
Mailing address
1275 SADLER WAY STE 100, FAIRBANKS, AK 99701-3175
(907) 452-3600
(907) 452-3695
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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