Individual
JAMES JAY TIESINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5760
AK
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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