Individual
DAVID ROY FONGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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