Individual
JON GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
Mailing address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301111911
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
154284
AK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301111911
MI
207RP1001X
Pulmonary Disease Physician
4301111911
MI
Other
Enumeration date
03/28/2013
Last updated
09/24/2020
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