Healthcare Provider Details

I. General information

NPI: 1184322406
Provider Name (Legal Business Name): MARIE CLAIRE PAPAMARCOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4076 NEELY RD
FAIRBANKS AK
99703
US

IV. Provider business mailing address

4076 NEELY RD
FAIRBANKS AK
99703
US

V. Phone/Fax

Practice location:
  • Phone: 907-361-4000
  • Fax:
Mailing address:
  • Phone: 907-361-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101284172
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: