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Individual

JEFFREY JOHN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
247 N FIREWEED, STE A, SOLDOTNA, AK 99669-7593
(907) 262-8597
Mailing address
247 N FIREWEED, STA A, SOLDOTNA, AK 99669-7593
(907) 262-8597

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4800
AK
208M00000X
Hospitalist Physician
Primary
4800
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD91351
AK
01
P00064109
RAILROAD MEDICARE
Enumeration date
06/20/2006
Last updated
02/07/2019
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