Organization · Type 2 NPI
North Star Plastic Surgery LLC
Plastic and Reconstructive Surgery Physician · Fairbanks, AK
NPI number
1417653569
Active
Practice location
562 University Ave Ste 101
Fairbanks, AK 99709-3603
Fax (855) 678-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1417653569
North Star Plastic Surgery LLC's National Provider Identifier is 1417653569, issued on Jan 31, 2023. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fairbanks, AK. The record was last updated on Aug 26, 2026.