Individual
DR. JAYNE S FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 E 42ND AVE, STE 301, ANCHORAGE, AK 99508-5205
(907) 563-3204
(907) 563-4283
Mailing address
2401 E 42ND AVE, STE 301, ANCHORAGE, AK 99508-5205
(907) 563-3204
(907) 563-4283
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2600
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2600
—
AK
Enumeration date
01/26/2006
Last updated
03/15/2013
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