# DOUG A VERMILLION MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386792547
- **Authorized official:** JOSEPH E BEATY (BILLING AGENT)
- **Authorized official phone:** (907) 644-6055

## Contact information

- **Practice address:** 2741 DEBARR RD, SUITE C-308, ANCHORAGE, AK 99508-2953
- **Practice address phone:** (907) 644-6055
- **Practice address fax:** (907) 644-4885
- **Mailing address:** PO BOX 241769, ANCHORAGE, AK 99524-1769
- **Mailing address phone:** (907) 770-2380
- **Mailing address fax:** (907) 770-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 902419 | AK | Yes |

## Other

- **Enumeration date:** 01/06/2007
- **Last updated:** 08/22/2020