| NPI | 1235024936 |
|---|---|
| Doing Business As | ALASKA ADVANCED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RENEE BLOMKER Revenue Cycle Manager 907-357-9590 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |