DR. Jerome O List, D.D.S., M.D.

NPI #1093776080 in Eagle River, Alaska

Provider Information

NPI Number: 1093776080
Entity Type: Individual
Name: DR. Jerome O List, D.D.S., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: D.D.S., M.D.
Enumeration Date: Mar 29, 2006
Last Updated: Apr 30, 2024

Practice Location

Address: 12641 OLD GLENN HWY STE 201
City: Eagle River
State: Alaska
ZIP Code: 99577-7040
Phone: (907) 561-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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