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Individual

DR. JEDIDIAH JONAH MALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 2ND AVE, SUITE 202, FAIRBANKS, AK 99701-4400
(316) 519-7664
Mailing address
ALASKA RADIOLOGY ASSOCIATES, 3650 PIPER ST, STE A, ANCHORAGE, AK 99508
(316) 519-7664

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6326
AK
2085R0202X
Diagnostic Radiology Physician
6347
KS
2085R0202X
Diagnostic Radiology Physician
MD60225585
WA

Other

Enumeration date
05/01/2007
Last updated
10/07/2020
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