NPI 1295930600

Farthest North Prosthetics and Orthotics

Organisation Prosthetic/Orthotic Supplier Fairbanks, AK

Practice location

Address: 3520 Industrial Ave, Fairbanks, AK 99701-7376
Phone: (907) 455-9255
Fax: (907) 455-6532

Authorised official

Name: Raymond Gilligan
Title: Prosthetist Orthotist
Phone: (907) 455-9255

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence BL272686 (AK)

Other Prosthetic/Orthotic Supplier providers in Alaska →

Registry record

NPI: 1295930600
Entity type: Organization
NPI issued: 15 Jun 2007
Record last updated: 31 Dec 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.