NPI 1114998473

Jayne S Fortson, MD

Organisation Dermatology Physician Anchorage, AK

Practice location

Address: 2401 E 42nd Ave STE 301, Anchorage, AK 99508-5205
Phone: (907) 563-3204
Fax: (907) 563-4283

Authorised official

Name: Jayne S Fortson
Title: Owner
Phone: (907) 563-3204

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence AA2600 (AK)

Other Dermatology providers in Alaska →

Registry record

NPI: 1114998473
Entity type: Organization
NPI issued: 26 Jan 2006
Record last updated: 15 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.