Doctor Name: | MR. DANILO C. MOTAS |
NPI Number: | 1700857034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C-FNP |
License Number: | 716 |
Business Practice Address: | 1400 Gaffney Rd Fort Wainwright, AK - 997031364 |
Business Phone Number: | 9073534107 |
Business Fax Number: | 9073534850 |
Mailing Address: | 101 Chief Evan Dr, FAIRBANKS |
State: | AK |
Postal Code: | 997094863 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |