OrganizationActive
Fairbanks Pain Consulting, LLC
NPI 1932436672 · Pain Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1932436672
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shan Jiang, President(907) 458-5638
- License
- 124884 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1919 Lathrop St
Suite 221
Fairbanks, AK 99701-5937
Phone: (907) 458-5638
Fax: (907) 458-6415
Approximate (ZIP-level) locationGet directions
Mailing address
3030 Davis Rd
Fairbanks, AK 99709-5233
Registry dates
- Enumerated
- 2009-11-16
- Last updated
- 2009-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.