| Jeffrey D Medland, Llc | |
|
3260 Providence Dr Ste 523 Anchorage AK 99508-4608 | |
| (907) 222-1724 | |
| (907) 770-2325 |
| Full Name | Jeffrey D Medland, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3260 Providence Dr Ste 523, Anchorage, Alaska |
| Authorized Official Name and Position | Joseph Beaty (BILLING AGENT) |
| Authorized Official Contact | 9077702301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Medland, Llc Po Box 241769 Anchorage AK 99524-1769 Ph: (907) 222-1724 | Jeffrey D Medland, Llc 3260 Providence Dr Ste 523 Anchorage AK 99508-4608 Ph: (907) 222-1724 |
| NPI Number | 1114441227 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 09/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114441227 | NPI | - | NPPES |
| 1649121 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1055571 (Alaska) | Primary |
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