Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Orthopedic & Sportsmedicine Clinic of Fairbanks LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1689304982

Orthopedic & Sportsmedicine Clinic of Fairbanks LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Fairbanks, Alaska. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305
Phone: (907) 479-2663
Fax: (907) 479-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1689304982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neal Everson — Member Manager · (907) 479-2663
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address2310 Peger Rd Ste 105, Fairbanks, AK 99709-5305

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