Provider First Line Business Practice Location Address:
1867 AIRPORT FRONTAGE ROAD
Provider Second Line Business Practice Location Address:
SUITE B (U.S. HEALTHWORKS ALASKA)
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99701-1867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-452-2178
Provider Business Practice Location Address Fax Number:
907-452-3178
Provider Enumeration Date:
02/09/2012