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INTEGRATIVE PAIN CENTER OF ALASKA LLC NPI 1417200551


NPI Information

NPI: 1417200551
Provider Name: INTEGRATIVE PAIN CENTER OF ALASKA, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 02D2038710

Address:
1275 SADLER WAY
SUITE 101
FAIRBANKS, AK
ZIP 99701
Phone: (907) 374-6602
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INTEGRATIVE PAIN CENTER OF ALASKA, LLC is a pain medicine anesthesiology in Fairbanks, AK. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. INTEGRATIVE PAIN CENTER OF ALASKA, LLC NPI is 1417200551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 SADLER WAY
SUITE 101
FAIRBANKS, AK
ZIP 99701-171
Phone: (907) 374-6602
Fax: (907) 374-6604

The provider's authorized official is Nancy Cross .
The authorized official title is Md and has the following contact phone number (907) 374-6602.

The CLIA number assigned to this NPI record is 02D2038710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 2/22/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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