Flory, David Russell
Flory, David Russell is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Flory, David Russell can be contacted via phone (800) 945-9877.Contact Information
Primary practice address
1650 Cowles St
Fairbanks AK 99701-5925
Phone: (800) 945-9877
Fax: (801) 733-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4238 | Alaska |
Profile Details
| NPI number | 1679596308 |
|---|---|
| LBN Legal business name | Flory, David Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 13th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679596308 | NPPES |
| Alaska | MEDICAID | MD4238 | |
| Alaska | Other | 193928800 |
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