A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

FAIRBANKS, AK
NPI1134990336
Entity TypeOrganization
Authorized ContactLISA BRUCE
COO
907-744-1944
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2024-01-16
Last Update Date2024-01-16
Business Address
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
282 BENTLEY TRUST ROAD SUITE B
FAIRBANKS, AK 99701
Phone number: 907-744-1944
Mailing Address
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
510 W TUDOR RD STE 1
ANCHORAGE, AK 99503-6649
Phone number: 907-744-1944