Individual
JOHN JAY EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DRIVE/EMERGENCY DEPT, ALASKA NATIVE MEDICAL CENTER, ANCHORAGE, AK 99508-2511
(206) 753-7225
Mailing address
10900 STONY BROOK DR, ANCHORAGE, AK 99516-1862
(206) 753-7225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24331
NE
207P00000X
Emergency Medicine Physician
Primary
7561
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1616419
—
AK
Enumeration date
06/09/2007
Last updated
03/17/2017
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