OrganizationActive
Banner Health Physicians Alaska LLC
NPI 1962803908 · Multi-Specialty Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1962803908
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vp Finance(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1001 Noble St
Fairbanks, AK 99701-4948
Phone: (907) 459-3507
Fax: (907) 459-3532
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.