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Search › Alaska › 172V00000X

Terrence Clack

NPI 1962112813 · on the registry since 2022 · sole proprietor

Practice

Address
1825 Marika Rd
Fairbanks, AK 99709
Phone
(907) 474-0890
Fax
(907) 474-3621
Organisation at this address
Family Centered Services Of Ak
Family Centered Services Of Alaska
Family Centered Services Of Alaska
Family Centered Services Of Alaska
Inferred from a shared address, not stated in the registry.
Clinicians at this address
286

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-01

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