OrganizationActive
Orthopedic & Sportsmedicine Clinic of Fairbanks LLC
NPI 1689304982 · Sports Medicine (Orthopaedic Surgery) Physician · Fairbanks, AK
Provider details
- NPI number
- 1689304982
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Neal Everson, Member Manager(907) 479-2663
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305
Phone: (907) 479-2663
Fax: (907) 479-2691
Approximate (ZIP-level) locationGet directions
Mailing address
2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.