Individual
NATHANIEL GUY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5556
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5556
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
162368
AK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
30885
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1724276
—
AK
Enumeration date
03/03/2016
Last updated
01/10/2022
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