Individual
JOSEPH DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 371-1300
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(206) 707-2555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
186204
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
02/22/2022
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