Individual
JILL VALERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 S COBB ST, SUITE 201, PALMER, AK 99645-6321
(907) 745-9355
(907) 745-9356
Mailing address
625 S COBB ST, SUITE 201, PALMER, AK 99645-6321
(907) 745-9355
(907) 745-9356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5218
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K165693
MEDICARE PTAN
AK
05
—
MD13888
—
AK
Enumeration date
06/12/2006
Last updated
09/05/2014
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