Organization
NORTH PACIFIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DEAN HALTER DO (PRESIDENT)
(907) 486-4183
Entity
Organization
Contact information
Practice address
104 CENTER AVE, STE 100, KODIAK, AK 99615
(907) 486-4183
(907) 486-4233
Mailing address
104 CENTER AVE, STE 100, KODIAK, AK 99615
(907) 486-4183
(907) 486-4233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0124
—
AK
05
—
MD1326
—
AK
05
—
MD1532
—
AK
Enumeration date
11/30/2006
Last updated
10/04/2023
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