Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 4505 | AK |
N | 207VX0000X | Obstetrician | 4505 | AK |
NPI | 1194790345 |
---|---|
Provider Name | Dr. Gina Pender |
First Address | Fairbanks, AK 99701-4922 |
Second Address | Fairbanks, AK 99701-4922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 19/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1014422 | (05) | AK |
BP6030706 | DEA NUMBER (01) | |
G75902 | (02) | AK |