IndividualActive
Jerome List, D.D.S., M.D.
NPI 1093776080 · Otolaryngology Physician · Eagle River, AK
Provider details
- NPI number
- 1093776080
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.D.S., M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 329599 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
12641 Old Glenn Hwy Ste 201
Eagle River, AK 99577-7040
Phone: (907) 561-1421
Fax: (907) 561-0327
Approximate (ZIP-level) locationGet directions
Mailing address
3831 Piper St Ste S433
Anchorage, AK 99508-6900
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2024-04-30
- Certified
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.