| Fairbanks Foot & Ankle Inc. | |
|
1405 Kellum St., Ste 200, Fairbanks, AK 99701 | |
| (907) 451-9202 | |
| (907) 452-6256 |
| Full Name | Fairbanks Foot & Ankle Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1405 Kellum St., Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659687945 | NPI | - | NPPES |
| PD2810 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2810 (Alaska) | Secondary |
| 213E00000X | Podiatrist | 2810 (Alaska) | Primary |
| Provider Name | Dustin Randall Hubbard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306279724 PECOS PAC ID: 1254610355 Enrollment ID: I20170407000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Foot & Ankle Inc. 1405 Kellum St., Ste 200, Fairbanks, AK 99701 Ph: (907) 451-9202 | Fairbanks Foot & Ankle Inc. 1405 Kellum St., Ste 200, Fairbanks, AK 99701 Ph: (907) 451-9202 |
Dr. Manx Quayle, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701 Phone: 907-456-3668 Fax: 907-456-8637 | |
Aurora Foot & Ankle Surgical Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1626 30th Ave Ste 202, Fairbanks, AK 99701 Phone: 901-456-3668 Fax: 901-456-8637 | |
Dr. Dustin Randall Hubbard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Kellum St Ste 200, Fairbanks, AK 99701 Phone: 907-451-9202 | |
Dr. Ralph Sylvan Dixon, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Suite 200, Fairbanks, AK 99701 Phone: 907-451-9202 Fax: 907-452-6256 |