NPI 1598103095

Clarice Grandpre MD LLC

Organisation Family Medicine Physician Fairbanks, AK

Practice location

Address: 995 Ellesmere Dr, Fairbanks, AK 99709-5759
Phone: (907) 479-8101
Mailing address: PO Box 84945, Fairbanks, AK 99708-4945

Authorised official

Name: Clarice Grandpre
Title: Owner
Phone: (907) 479-8101

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2983 (AK)

Other Family Medicine providers in Alaska →

Registry record

NPI: 1598103095
Entity type: Organization
NPI issued: 6 Jun 2013
Record last updated: 3 Jun 2014

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.