Organization
WILLIAM MONTANO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE NMI STICKEL (OFFICE MANAGER)
(907) 452-8151
Entity
Organization
Contact information
Practice address
1919 LATHROP ST STE 204, FAIRBANKS, AK 99701-5942
(907) 452-8151
(907) 452-8153
Mailing address
1919 LATHROP ST STE 204, FAIRBANKS, AK 99701-5942
(907) 452-8151
(907) 452-8153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD 1335
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 1335
—
AK
Enumeration date
01/18/2012
Last updated
01/18/2012
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