Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 164 | AK |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | D-3754-OS | ID |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DE 00007763 | WA |
NPI | 1023145026 |
---|---|
Provider Name | Dr. Sarah J Satow |
First Address | Fairbanks, AK 99701 |
Second Address | Fairbanks, AK 99701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 20/01/2011 |