Individual
DR. ROGER DEAN THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,P.C.
Contact information
Practice address
4001 GEIST RD, SUITE 8, FAIRBANKS, AK 99709-3552
(907) 456-8899
(907) 456-8806
Mailing address
PO BOX 71720, FAIRBANKS, AK 99707-1720
(907) 456-8899
(907) 456-8806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2349
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2349
—
AK
Enumeration date
01/10/2007
Last updated
01/08/2013
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