NPI 1659515237

Aurora Plastic Surgery, LLC

Organisation Plastic Surgery Physician Fairbanks, AK

Practice location

Address: 1919 Lathrop St, Fairbanks, AK 99701-5930
Phone: (907) 457-5277
Fax: (907) 457-5278
Mailing address: 1919 Lathrop St Suite 101, Fairbanks, AK 99701-5930

Authorised official

Name: Christopher Jonathan Jensen
Title: Owner
Phone: (907) 457-5277

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 248277 (NY)

Other Plastic Surgery providers in Alaska →

Registry record

NPI: 1659515237
Entity type: Organization
NPI issued: 27 Apr 2009
Record last updated: 27 Apr 2009

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.