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NPI 1205041126 · Durable Medical Equipment & Medical Supplies · Fairbanks, AK
Provider details
- NPI number
- 1205041126
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vice President Finance(602) 747-4000
Specialties & taxonomies
Suppliers
Practice location
19 College Rd
Unit D
Fairbanks, AK 99701-1702
Phone: (907) 458-5421
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2010-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.