Provider Demographics
NPI:1780704494
Name:MIDNIGHT SUN FAMILY MEDICINE, PC
Entity type:Organization
Organization Name:MIDNIGHT SUN FAMILY MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S.
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:KAIHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:907-455-7123
Mailing Address - Street 1:475 RIVERSTONE WAY
Mailing Address - Street 2:# 5
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-2945
Mailing Address - Country:US
Mailing Address - Phone:907-455-7123
Mailing Address - Fax:907-455-7125
Practice Address - Street 1:475 RIVERSTONE WAY
Practice Address - Street 2:# 5
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-2945
Practice Address - Country:US
Practice Address - Phone:907-455-7123
Practice Address - Fax:907-455-7125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty