Organization
JAYNE S FORTSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE S FORTSON M.D. (OWNER)
(907) 563-3204
Entity
Organization
Contact information
Practice address
2401 E 42ND AVE, STE 301, ANCHORAGE, AK 99508-5205
(907) 563-3204
(907) 563-4283
Mailing address
2401 E 42ND AVE, STE 301, ANCHORAGE, AK 99508-5205
(907) 563-3204
(907) 563-4283
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AA2600
AK
Other
Enumeration date
01/26/2006
Last updated
03/15/2013
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