OrganizationActive
Fairbanks Surgery, LLC
NPI 1790017291 · Surgery Physician · Fairbanks, AK
Provider details
- NPI number
- 1790017291
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Montano, Officer(907) 452-8151
- License
- MD1335 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1919 Lathrop St Ste 204
Fairbanks, AK 99701-5942
Phone: (907) 452-8151
Approximate (ZIP-level) locationGet directions
Mailing address
1919 Lathrop St Ste 204
Fairbanks, AK 99701-5942
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2010-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.