Jayne S Fortson, MD

NPI #1114998473 in Anchorage, Alaska

Provider Information

NPI Number
1114998473
Entity Type
Organization
Organization Name
Jayne S Fortson, MD
Primary Specialty
Dermatology
Enumeration Date
Jan 26, 2006
Last Updated
Mar 15, 2013

Practice Location

Address
2401 E 42ND AVE
Address 2
STE 301
State
Alaska
ZIP Code
99508-5205
Phone
(907) 563-3204

Authorized Official

Name
DR. JAYNE S FORTSON, M.D.
Title
OWNER
Phone
(907) 563-3204

Specialties & Taxonomy Codes

Specialty
Dermatology

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