Individual
JAMES F WALERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 LAVELLE COURT, UNALASKA, AK 99685
(907) 581-1202
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3967
SD
207Q00000X
Family Medicine Physician
Primary
102832
AK
207Q00000X
Family Medicine Physician
3967
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1636403
—
AK
05
—
5609880
—
SD
Enumeration date
02/21/2006
Last updated
08/11/2021
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