Individual
DR. JACK M POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 202-1736
Mailing address
DEPT AT952639, ATLANTA, GA 31192-2639
(800) 684-0857
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
020657
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1903728
—
LA
Enumeration date
09/27/2005
Last updated
05/24/2021
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