Individual
JAVIER CIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506
(907) 580-3205
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-3205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57730
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
08/16/2018
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