Organization
TIMOTHY W TESLOW, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W TESLOW M.D. (PRESIDENT)
(907) 457-7874
Entity
Organization
Contact information
Practice address
1275 SADLER WAY, SUITE 102, FAIRBANKS, AK 99701-3175
(907) 457-7874
(907) 457-7060
Mailing address
1275 SADLER WAY, SUITE 102, FAIRBANKS, AK 99701-3175
(907) 457-7874
(907) 457-7060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3579
AK
Other
Enumeration date
05/17/2007
Last updated
10/28/2008
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