| NPI | 1922127992 |
|---|---|
| Doing Business As | SPORTSMEDICINE FAIRBANKS |
| Entity Type | Organization |
| Authorized Contact | REBECCA S DEAN Executive Director 907-451-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 38793) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AK 38793) |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: AK 38793) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-06-07 |