NPI 1427532613

Gold Star Longevity & Wellness LLC

Organisation Family Medicine Physician Fairbanks, AK

Practice location

Address: 751 Old Richardson Hwy STE 200, Fairbanks, AK 99701-7805
Phone: (907) 457-9420
Fax: (907) 457-1098

Authorised official

Name: Russell Scott Pierce
Title: Owner, M.D.
Phone: (907) 457-9420

Registered specialties (8)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alaska →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X

Other Nurse Practitioner providers in Alaska →

Community Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LC1500X

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X

Pediatric Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Primary Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X

Registry record

NPI: 1427532613
Entity type: Organization
NPI issued: 24 Sep 2018
Record last updated: 11 May 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.