NPI 1023179587

Ear Nose & Throat Clinic INC.

Organisation Otolaryngology Physician Fairbanks, AK

Practice location

Address: 1919 Lathrop St Suite 103, Fairbanks, AK 99701-5937
Phone: (907) 456-7768
Fax: (907) 456-4045
Mailing address: 1919 Lathrop St. Suite 103, Fairbanks, AK 99701-5937

Authorised official

Name: Sam Y Kim
Title: President
Phone: (907) 456-7768

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Alaska →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 83561 (AK)

Registry record

NPI: 1023179587
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 1 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.