| Dr Eric Michael Tallan, MD | |
|
1919 Lathrop St., Ste 207, Fairbanks, AK 99701 | |
| (907) 456-7768 | |
| Not Available |
| Full Name | Dr Eric Michael Tallan |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1919 Lathrop St., Fairbanks, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942390919 | NPI | - | NPPES |
| 040006075 | Other | AK | MEDICARE RR |
| MD0112 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 3111 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Michael Tallan, MD 315 Illinois St, Fairbanks, AK 99701-2910 Ph: (907) 456-7768 | Dr Eric Michael Tallan, MD 1919 Lathrop St., Ste 207, Fairbanks, AK 99701 Ph: (907) 456-7768 |
Thomas H Hammond, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St. Ste 103, Fairbanks, AK 99701 Phone: 907-456-7768 Fax: 907-456-4045 | |
Dr. Richard P Raugust, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St., Ste 103, Fairbanks, AK 99701 Phone: 907-456-7768 Fax: 907-456-4045 | |
Dr. Sam Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Ste 103, Fairbanks, AK 99701 Phone: 907-456-7768 Fax: 907-456-4045 |