Individual
DR. JEREMY J GITOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4015 LAKE OTIS PKWY, SUITE 101, ANCHORAGE, AK 99508-5211
(907) 375-5200
(907) 375-5201
Mailing address
PO BOX 196800, ANCHORAGE, AK 99519-6800
(907) 375-5200
(907) 375-5201
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5028
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017876
—
AK
Enumeration date
09/23/2005
Last updated
06/19/2015
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