Whalio Doctors

NPI 1194793414

Ronald a Martino, MD

Practitioner Neurology Physician Fairbanks, AK

Practice location

Address
1919 Lathrop St STE 220, Fairbanks, AK 99701-5942
Phone
(907) 452-1739
Fax
(907) 452-2384
Mailing address
PO Box 73410, Fairbanks, AK 99707-3410

Registered specialties

Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 1695 (AK)

Registry record

NPI
1194793414
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Mar 2006
Record last updated
30 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.