GLACIER GENERAL MEDICINE LLC NPI 1740571645

NPI Information

GLACIER GENERAL MEDICINE, LLC is a general practice in Fairbanks, AK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GLACIER GENERAL MEDICINE, LLC NPI is 1740571645. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3419 AIRPORT WAY STE B
FAIRBANKS, AK
ZIP 99709-761
Phone: (907) 374-8914
Fax: (907) 374-8915

The provider's authorized official is Slyvia Mccormick .
The authorized official title is Member and has the following contact phone number (907) 374-8914.

The enumeration date for this NPI number is 4/26/2011 and was last updated on 4/26/2011.

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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