| NPI | 1982805511 |
|---|---|
| Doing Business As | SPORTSMEDICINE FAIRBANKS |
| Entity Type | Organization |
| Authorized Contact | REBECCA S DEAN Executive Director 907-451-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 38793) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |