Chad D Personett OD

NPI 1881754646 - Optometrist - 152W00000X

NPI Details
NPI 1881754646
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/22/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1867 AIRPORT WAY
SUITE 150-A
FAIRBANKS AK, 99701-4007, US
Phone (907) 452-2131
Fax (907) 452-2618
Business Location
1867 AIRPORT WAY
SUITE 150-A
FAIRBANKS AK, 99701-4007, US
Phone (907) 452-2131
Fax (907) 452-2618
Toxanomy
Taxonomy Code 152W00000X
License State Alaska
License Number AA 193
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According to our database, Dr. Chad D Personett OD NPI is 1881754646, taxonomy code is 152W00000X and license number is AA 193, license state is located at Alaska. Chad D Personett OD physically located at 1867 Airport Way, Fairbanks AK, 99701-4007. NPI Number Chad D Personett OD has the Individual type.

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1881754646 NPI number is provided on an as is basis without warranty of any kind. 1881754646 is maintained by the National Plan & Provider Enumeration System. The contents of Chad D Personett OD are for informational purposes only.