| Laser Vein Center Of Fairbanks, Llc | |
|
506 Gaffney Rd Suite 300 Fairbanks AK 99701-4914 | |
| (907) 452-8346 | |
| (907) 451-8346 |
| Full Name | Laser Vein Center Of Fairbanks, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 Gaffney Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Donald Ives (MANAGER) |
| Authorized Official Contact | 9074528346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laser Vein Center Of Fairbanks, Llc Po Box 440 Ester AK 99725-0440 Ph: () - | Laser Vein Center Of Fairbanks, Llc 506 Gaffney Rd Suite 300 Fairbanks AK 99701-4914 Ph: (907) 452-8346 |
| NPI Number | 1124161716 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931206448 |
|---|---|
| Medicare Enrollment ID | O20070517000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124161716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 903255 (Alaska) | Primary |
| Provider Name | Paul W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462887 PECOS PAC ID: 6709952880 Enrollment ID: I20140618000277 |
| Provider Name | Jesse Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552271 PECOS PAC ID: 9739168345 Enrollment ID: I20160407002168 |
Polar Wind Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 140a, Fairbanks, AK 99701 Phone: 907-457-9355 Fax: 907-457-9356 | |
Alaska Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 203, Fairbanks, AK 99701 Phone: 907-456-2825 Fax: 907-451-0742 | |
University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
Joseph Daniel Grimes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3345 | |
Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |