Individual provider · Type 1 NPI

Tamara Wilson

Electroneurodiagnostic Specialist/Technologist · Fairbanks, AK

NPI number 1457873440 Active

Practice location

2310 Peger Rd Ste 106
Fairbanks, AK 99709-5305

Mailing address

2080 Frustration Trl
Fairbanks, AK 99709-2733

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1457873440

Tamara Wilson's National Provider Identifier is 1457873440, issued on Jul 11, 2017. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 11, 2017.