Organization
ISC KETCHIKAN-JUNEAU DETACHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ESTEBAN PALACIO M.D. (CHIEF OF HEALTH SERVICES)
(907) 463-2140
Entity
Organization
Contact information
Practice address
709 W 9TH ST, USCG MEDICAL ROOM 627, JUNEAU, AK 99801-1807
(907) 463-2140
Mailing address
709 W 9TH ST, USCG MEDICAL ROOM 627, JUNEAU, AK 99801-1807
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
08/22/2020
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