NPI 1669681599
Jimmy Spears, CDCI
Practice location
- Address
- 1027 Evergreen St, Fairbanks, AK 99709-4306
- Phone
- (907) 451-8164
- Mailing address
- PO Box 71023, Fairbanks, AK 99707-1023
Registered specialties
Children's Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1669681599
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 May 2007
- Record last updated
- 8 Jul 2007
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.