Provider First Line Business Practice Location Address:
E. COWLES
Provider Second Line Business Practice Location Address:
FAIRBANKS MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-456-6561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2007