Whalio Doctors

NPI 1366475105

James Jay Tiesinga, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Anchorage, AK

Practice location

Address
4315 Diplomacy Dr Attn: Sherry Reedy, Anchorage, AK 99508-5926
Phone
(907) 729-3971
Fax
(907) 729-1542

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 5760 (AK)

Registry record

NPI
1366475105
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2006
Record last updated
8 Jul 2007

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.