Whalio Doctors

NPI 1578601340

Samuel a McConkey III MD PC

Organisation Ophthalmology Physician Fairbanks, AK

Practice location

Address
1521 Stacia St, Fairbanks, AK 99701-6135
Phone
(907) 456-4822
Mailing address
315 Illinois St, Fairbanks, AK 99701-2910

Authorised official

Name
Samuel a McConkey
Title
Owner
Phone
(907) 456-7767

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 849 (AK)

Registry record

NPI
1578601340
Entity type
Organization
NPI issued
2 Feb 2007
Record last updated
9 Dec 2010

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.