Organization
SOUTHEAST ALASKA REGIONAL CENTER
Active
Organization
SOUTHEAST ALASKA REGIONAL CENTER
Active
Other names
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Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD R SCOTT MD (OWNER)
(907) 622-3569
Entity
Organization
Contact information
Practice address
2490 S WOODWORTH, SUITE 410, PALMER, AK 99645
(907) 745-9230
(907) 745-9233
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
288794
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD47212
—
AK
Enumeration date
02/23/2006
Last updated
08/22/2020
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