Search › Alaska › 103K00000X
Brandon Greenstreet, M.A
NPI 1104293489 · on the registry since 2015
Practice
- Address
- 724 27th Ave Ste 2
Fairbanks, AK 99701 - Phone
- (907) 374-2905
- Fax
- (907) 374-2915
- Clinicians at this address
- 9
Additional practice sites
- 348 Ruby Ave, Eugene, OR
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska