Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairweather Deadhorse Medical Clinic

Organization Physician Assistant · NPI 1508121047

Fairweather Deadhorse Medical Clinic is a Physician Assistant in Deadhorse, Alaska. Licensed in Alaska. Registered with an NPI since 2012.

Licensed in
AK
In the registry since
2012

Practice location Address checks out

500 1st St
Deadhorse, AK 99734-0000
Phone: (907) 685-1800
Fax: (907) 685-1803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 940479 (AK)

Record details

NPI number1508121047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Bolam — Group Practice Manager · (907) 248-8008
NPI enumeratedJuly 11, 2012
Last updated in NPPESAugust 9, 2013
Mailing addressPo Box 200134, Anchorage, AK 99520-0134