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

Orthopedic & Sportsmedicine Clinic of Fairbanks LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1689304982

Orthopedic & Sportsmedicine Clinic of Fairbanks LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Fairbanks, Alaska. Registered with an NPI since 2022.

In the registry since
2022
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

2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305
Phone: (907) 479-2663
Fax: (907) 479-2691
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1689304982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neal Everson — Member Manager · (907) 479-2663
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address2310 Peger Rd Ste 105, Fairbanks, AK 99709-5305

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