FAIRBANKS MEMORIAL CARDIOLOGY CENTER LLC NPI 1386193472

NPI Information

FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC is a medical specialty clinic center in Fairbanks, AK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC NPI is 1386193472. The provider is registered as an organization entity type.

The provider's business location address is:

1650 COWLES ST DEPT 60A
FAIRBANKS, AK
ZIP 99701-907
Phone: (907) 458-5525

The provider's authorized official is Stephen P Leslie .
The authorized official title is Cfo and has the following contact phone number (907) 458-3310.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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