Doctor Name: | DR. STEPHANIE FOX |
NPI Number: | 1396037859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 27051 |
Business Practice Address: | 5955 Zeamer Ave 673d Mdg Jber, AK - 995063702 |
Business Phone Number: | 9075802908 |
Business Fax Number: | 9075802905 |
Mailing Address: | 5955 Zeamer Ave, 673d Mdg JBER |
State: | AK |
Postal Code: | 995063702 |
Phone Number: | 9075802908 |
Fax Number: | 9075802905 |
NPI Enumeration Date: | 05/03/2011 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |