NPI 1235371360
Laser Vein Center of Fairbanks, LLC
Practice location
- Address
- 506 Gaffney Rd Suite 300, Fairbanks, AK 99701-4914
- Phone
- (907) 452-8346
- Mailing address
- PO Box 440, Ester, AK 99725-0440
Authorised official
- Name
- Donald Ives
- Title
- Manager
- Phone
- (907) 452-8346
Registered specialties (2)
Phlebology Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1235371360
- Entity type
- Organization
- NPI issued
- 6 Apr 2009
- Record last updated
- 6 Apr 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.