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Individual

TOULA FARNSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 452-8181
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-6450
(907) 458-6430

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
AK
363A00000X
Physician Assistant
Primary
240759
AK
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1757170
AK
Enumeration date
04/13/2021
Last updated
02/17/2026
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