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Organization
JEFFREY D MEDLAND, LLC
Active
Organization
JEFFREY D MEDLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
3260 PROVIDENCE DR STE 523, ANCHORAGE, AK 99508-4608
(907) 222-1724
(907) 770-2325
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 222-1724
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1055571
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649121
—
AK
Enumeration date
07/31/2017
Last updated
09/01/2017
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