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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Sole Proprietor

Anatomic Pathology & Clinical Pathology · FAIRBANKS, AK

Registration Details

NPI Number
1619559572
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2021 (5.0037872993206 yrs)
Last Updated
Sep 9, 2025
License
231482 (AK)
Sole Proprietor
Yes

Practice Information

Address
1650 COWLES ST
FAIRBANKS, AK, 997015907
Browse AK providers · Browse ZIP 99701
Phone
9074582100
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in FAIRBANKS, AK

Name Credential NPI
MAZEN MAGDY KHALIL OSMAN 1760987150
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.