SearchAlaska156FX1800X

Jay Titus

NPI 1710433347 · on the registry since 2016 · sole proprietor

Practice

Address
2884 Marina Drive
Fairbanks, AK 99709
Phone
(907) 590-2040
Fax
(907) 474-4035

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-01

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