MEDICARE: DR. SARAH LOVE DVM DACVIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	557	AK

General Provider Information

NPI Number	:	1669896015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH LOVE DVM DACVIM

Provider Business Mailing Address
First Line	:	PO BOX 61174
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99706-1174
Country	:	US
Telephone Number	:	907-274-5636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 E DOWLING RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1954
Country	:	US
Telephone Number	:	907-978-9917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	02/05/2014

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Directions to “ DR. SARAH LOVE DVM DACVIM” Practice Location

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