FAIRWEATHER DEADHORSE MEDICAL CLINIC
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1508121047- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 500 1ST STREET, DEADHORSE, AK, 997340000
- Phone
- (907) 685-1800
- Fax
- (907) 685-1803
Specialties & Taxonomies
Physician Assistant
Primary License: AK #940479