Organization · Type 2 NPI

Peacehealth

Diagnostic Radiology Physician · Ketchikan, AK

NPI number 1801965736 Active

Practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Call (907) 228-8300 Map

Fax (907) 228-8518

Mailing address

PO Box 1798
Bellingham, WA 98227-1798

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000XNone listed
Anesthesiology Physician 207L00000XNone listed
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Sleep Medicine (Internal Medicine) Physician 207RS0012XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNO NUMBERS ISSUED (AK)
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNO NUMBERS ISSUED (AK)
Pediatrics Physician 208000000XNO NUMBERS ISSUED (AK)
Psychiatry Physician 2084P0800XNO NUMBERS ISSUED (AK)
Diagnostic Radiology Physician Primary 2085R0202XNO NUMBERS ISSUED (AK)
Surgery Physician 208600000XNO NUMBERS ISSUED (AK)
Certified Registered Nurse Anesthetist 367500000XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

60 other providers at this address

About NPI 1801965736

Peacehealth's National Provider Identifier is 1801965736, issued on Nov 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ketchikan, AK. The record was last updated on Aug 31, 2011.