Dr TODD A CAPISTRANT DO is a male medical professional, specializing in Osteopathic Manipulative Medicine. He graduated in 1997 from University Of Osteopathic Medicine And Health Sciences.
TANANA VALLEY CLINIC LLC
1001 NOBLE ST
FAIRBANKS
AK
997014948
Tel: 9074593500
| Npi | 1710931613 |
| Pac Id | 2961301635 |
| Professional Enrollment Id | I20040102000245 |
| Last Name | CAPISTRANT |
| First Name | TODD |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1997 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | TANANA VALLEY CLINIC LLC |
| Group Practice Pac Id | 5698056901 |
| Number Of Group Practice Members | 89 |
| Line 1 Street Address | 1001 NOBLE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 997014948 |
| Phone Number | 9074593500 |
| Hospital Affiliation Ccn 1 | 020012 |
| Hospital Affiliation Lbn 1 | FAIRBANKS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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