Organization
MAYGREN FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNELLE G MAYGREN O.D. (PRESIDENT/OPTOMETRIST)
(907) 456-4822
Entity
Organization
Contact information
Practice address
1521 STACIA ST, FAIRBANKS, AK 99701-6135
(907) 456-4822
Mailing address
1521 STACIA ST, FAIRBANKS, AK 99701-6135
(907) 456-4822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
297
AK
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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