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

Glacier General Medicine, LLC

Organization General Practice Physician · NPI 1740571645

Glacier General Medicine, LLC is a General Practice Physician in Fairbanks, Alaska. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3419 Airport Way Ste B
Fairbanks, AK 99709-4761
Phone: (907) 374-8914
Fax: (907) 374-8915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1740571645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Slyvia McCormick — Member · (907) 374-8914
NPI enumeratedApril 26, 2011
Last updated in NPPESApril 26, 2011
Mailing address3419 Airport Way Ste B, Fairbanks, AK 99709-4761

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