NPI 1568637221 · live from the CMS NPI Registry
Joel Marquess
Radiology, Diagnostic Radiology in Fairbanks, AK. National Provider Identifier 1568637221, active.
NPI record
| NPI | 1568637221 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1650 Cowles St, Fairbanks, AK 99701 |
| Practice phone | 704-355-0221 |
| Mailing address | Po Box 70378, 815 Second Ave, Suite 116, Fairbanks, AK 99707 |
| Enumerated | April 24, 2008 |
| Last updated | October 2, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2013-02064 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.