NPI: 1689247652
Provider Name: JOSEPH C. LIVENGOOD, M.D., PROF. LLC
Doing Business As: JOSEPH C LIVENGOOD, MD, PLLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization
Specialization: Emergency Care
Address:
1979 PEGER RD
FAIRBANKS, AK
ZIP 99709
Phone: (907) 370-2533
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JOSEPH C. LIVENGOOD, M.D., PROF. LLC is an emergency care clinic center in Fairbanks, AK. JOSEPH C. LIVENGOOD, M.D., PROF. LLC NPI is 1689247652. The provider is registered as an organization entity type.
The provider Is Doing Business As Joseph C Livengood, Md, Pllc.
The provider's business location address is:
1979 PEGER RD
FAIRBANKS, AK
ZIP 99709-257
Phone: (907) 370-2533
The provider's authorized official is Joseph Livengood .
The authorized official title is Member and has the following contact phone number (907) 370-2533.
The enumeration date for this NPI number is 7/19/2021 and was last updated on 12/1/2021.