Individual
DAVID SCOTT INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4130
(907) 262-7735
Mailing address
240 HOSPITAL PL STE 204, SOLDOTNA, AK 99669-7559
(907) 262-1080
(877) 735-0337
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5710
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#5710
AK. LIC. NUMBER
AK
01
—
150816
MEDICARE GROUP I.D. NUMBE
AK
05
—
MD6826
—
AK
Enumeration date
12/15/2005
Last updated
03/07/2023
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