NPI 1093776080

Jerome O List, DDSMD

Practitioner Otolaryngology Physician Eagle River, AK

Practice location

Address: 12641 Old Glenn Hwy STE 201, Eagle River, AK 99577-7040
Phone: (907) 561-1421
Fax: (907) 561-0327
Mailing address: 3831 Piper St STE S433, Anchorage, AK 99508-6900

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2607 (AK)

Other Otolaryngology providers in Alaska →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 329599 (NY)

Registry record

NPI: 1093776080
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2006
Record last updated: 30 Apr 2024

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.