Individual
DR. JEFFREY BRENT ROATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 929-7337
Mailing address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 929-7337
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6550
AK
2086S0120X
Pediatric Surgery Physician
43121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1272
—
AK
Enumeration date
01/07/2008
Last updated
02/04/2026
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