Individual
DR. JEROME O LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
12641 OLD GLENN HWY STE 201, EAGLE RIVER, AK 99577-7040
(907) 561-1421
(907) 561-0327
Mailing address
3831 PIPER ST STE S433, ANCHORAGE, AK 99508-6900
(907) 561-1421
(907) 561-0327
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2607
AK
207Y00000X
Otolaryngology Physician
329599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1123
—
AK
Enumeration date
03/29/2006
Last updated
04/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us