| NPI | 1942751631 |
|---|---|
| Other Name | FAIRBANKS MEMORIAL PHYSICIAN SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | SHELLEY D EBENAL General Counsel 907-458-5550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |