NPI 1104067560
Tanana Valley Clinic
Practice location
- Address
- 1001 Noble St, Fairbanks, AK 99701-4922
- Phone
- (907) 459-3500
- Mailing address
- 1441 N 12th St, Phoenix, AZ 85006-2837
Authorised official
- Name
- Dennis Dahlen
- Title
- Sr Vp Finance
- Phone
- (602) 747-4000
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1104067560
- Entity type
- Organization
- NPI issued
- 16 Mar 2009
- Record last updated
- 16 Mar 2009
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.