Whalio Doctors

NPI 1053568782

Daesong Yim, PHDLAC

Practitioner Acupuncturist Fairbanks, AK

Practice location

Address
1500 Airport Way # a, Fairbanks, AK 99701-4002
Phone
(907) 456-2100
Fax
(907) 456-2472
Mailing address
1500 Airport Way # C, Fairbanks, AK 99701-4002

Registered specialties (2)

Acupuncturist Primary
Other Service Providers Taxonomy 171100000X Licence 117 (AK)
Acupuncturist
Other Service Providers Taxonomy 171100000X Licence AC00003084 (WA)

Registry record

NPI
1053568782
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Aug 2008
Record last updated
10 Sep 2008

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.