Isc Ketchikan-Juneau Detachment

NPI #1497731590 in Juneau, Alaska

Provider Information

NPI Number
1497731590
Entity Type
Organization
Organization Name
Isc Ketchikan-Juneau Detachment
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Dec 20, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
709 W 9TH ST
Address 2
USCG MEDICAL ROOM 627
City
Juneau
State
Alaska
ZIP Code
99801-1807
Phone
(907) 463-2140

Authorized Official

Name
JUAN ESTEBAN PALACIO, M.D.
Title
CHIEF OF HEALTH SERVICES
Phone
(907) 463-2140

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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