NPI 1154578490

Heather L. Woller, M.D., LLC

Organisation Specialist Fairbanks, AK

Practice location

Address: 3101 Lathrop St, Fairbanks, AK 99701-7426
Phone: (907) 687-0672
Mailing address: PO Box 84315, Fairbanks, AK 99708-4315

Authorised official

Name: Heather L Woller
Title: Owner
Phone: (907) 687-0672

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6149 (AK)

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Registry record

NPI: 1154578490
Entity type: Organization
NPI issued: 19 Aug 2008
Record last updated: 19 Aug 2008

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.