NPI 1326506882

Raymond Gilligan Jr

Organisation Prosthetic/Orthotic Supplier Fairbanks, AK

Practice location

Address: 3517 Industrial Ave, Fairbanks, AK 99701-7737
Phone: (907) 455-9255
Fax: (907) 452-1789

Authorised official

Name: Emilie H Woodward
Title: Office Manager
Phone: (907) 455-9255

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Alaska →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Alaska →

Registry record

NPI: 1326506882
Entity type: Organization
NPI issued: 4 Mar 2019
Record last updated: 5 Jul 2021

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.