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HomeProvidersFAIRWEATHER DEADHORSE MEDICAL CLINIC

Physician Assistant

FAIRWEATHER DEADHORSE MEDICAL CLINIC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1508121047 · enumerated 2012-07-11 · record updated 2013-08-09. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: Ms. AMY BOLAM, Group Practice Manager · (907) 248-8008

Addresses and phones

Practice location 500 1ST STREET, DEADHORSE, AK, 99734-0000 (907) 685-1800 Fax (907) 685-1803 Google Maps Apple Maps OpenStreetMap
Mailing address PO BOX 200134, ANCHORAGE, AK, 99520-0134 (907) 248-8008 Fax (907) 248-8208 Google Maps Apple Maps OpenStreetMap

Specialties

Physician Assistant 363A00000X · Primary · License 940479 AK

In this directory

AK North Slope Borough Deadhorse Physician Assistant

Locations and evidence

Practice location DEADHORSE, AK, 997340000
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.