Individual
JU-LIN THAM FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 W. COWLES STREET, FAIRBANKS, AK 99701
(907) 451-6682
Mailing address
2976 MOOSE MOUNTAIN RD, FAIRBANKS, AK 99709-6072
(617) 932-9723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
116469
AK
Other
Enumeration date
04/28/2017
Last updated
10/26/2021
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