Individual
LARRY D COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 451-7916
Mailing address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 451-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT T 103
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD33611
—
AK
Enumeration date
01/10/2006
Last updated
11/29/2016
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