Valley Dermatology Center, Inc.

NPI 1821093550 - Dermatology - 207N00000X

NPI Details
NPI 1821093550
Enumeration Date 06/17/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JEFFREY M JEFFREY
Position OWNER
Phone (907) 357-2800
Fax (907) 357-2801
Practice Location
851 WESTPOINT DR
STE B10
WASILLA AK, 99654-7191, US
Phone (907) 357-2800
Fax (907) 357-2801
Business Location
851 WESTPOINT DR
STE B10
WASILLA AK, 99654-7191, US
Phone (907) 357-2800
Fax (907) 357-2801
Toxanomy
Taxonomy Code 207N00000X
License State Alaska
License Number 291762
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According to our database, Valley Dermatology Center, Inc. NPI is 1821093550, taxonomy code is 207N00000X and license number is 291762, license state is located at Alaska. Valley Dermatology Center, Inc. physically located at 851 Westpoint Dr, Wasilla AK, 99654-7191. NPI Number 1033115704 has the healthcare provider type.

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1821093550 NPI number is provided on an as is basis without warranty of any kind. 1821093550 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Dermatology Center, Inc. are for informational purposes only.