NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1518075100 |   |   |   | FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP | 1919 LATHROP ST | FAIRBANKS | AK | 997015937 |
1750341053 | BOURQUE | GLORIA | G |   | PO BOX 73410 | FAIRBANKS | AK | 997073410 |
1336387158 | CALDWELL | SALLY | ANN |   | 1919 LATHROP ST | FAIRBANKS | AK | 997015937 |
1447219589 | FOELSCH | JAMES | M |   | PO BOX 73410 | FAIRBANKS | AK | 997073410 |
1386612604 | FRIED | MOREEN | L |   | PO BOX 73410 | FAIRBANKS | AK | 997073410 |
1194793414 | MARTINO | RONALD | A |   | PO BOX 73410 | FAIRBANKS | AK | 997073410 |