Whalio Doctors

NPI 1659687945

Fairbanks Foot & Ankle INC.

Organisation Podiatrist Fairbanks, AK

Practice location

Address
1405 Kellum St. STE 200, Fairbanks, AK 99701
Phone
(907) 451-9202
Fax
(907) 452-6256

Authorised official

Name
Ralph Sylvan Dixon
Title
Owner/President
Phone
(907) 451-9202

Registered specialties (2)

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 2810 (AK)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 2810 (AK)

Registry record

NPI
1659687945
Entity type
Organization
NPI issued
24 Aug 2010
Record last updated
24 Aug 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.