IndividualActive
Anthony Bonitatibus, MD
NPI 1689606477 · Allergy & Immunology Physician · Fairbanks, AK
Provider details
- NPI number
- 1689606477
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 51624 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1001 Noble St Ste 1
Fairbanks, AK 99701-4991
Phone: (907) 458-2635
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Noble St Ste 1
Fairbanks, AK 99701-4991
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.