NPI 1073081287

Tanana Valley Clinic LLC

Organisation Multi-Specialty Clinic/Center Fairbanks, AK

Practice location

Address: 1405 Kellum St, Fairbanks, AK 99701-4189
Phone: (907) 459-3500
Mailing address: PO Box 73720, Fairbanks, AK 99707-3720

Authorised official

Name: Stephen Paul Leslie
Title: Cfo
Phone: (907) 458-3310

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1073081287
Entity type: Organization
NPI issued: 6 Nov 2018
Record last updated: 6 Nov 2018

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.