Organization
KATY SHERIDAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY MARIE SHERIDAN M.D. (OWNER)
(907) 260-3121
Entity
Organization
Contact information
Practice address
154 W MARYDALE AVE, SOLDOTNA, AK 99669-7501
(907) 260-3121
(907) 260-4022
Mailing address
154 W MARYDALE AVE, SOLDOTNA, AK 99669-7501
(907) 260-3121
(907) 260-4022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3723
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581953
—
AK
Enumeration date
08/30/2006
Last updated
08/30/2016
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