OrganizationActive
Eagle River Dermatology Inc
NPI 1750880654 · Dermatology Physician · Eagle River, AK
Provider details
- NPI number
- 1750880654
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lindsay Proctor, Office Manager(907) 694-3303
- License
- AK503 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16839 Park Place St
Eagle River, AK 99577
Phone: (907) 694-3303
Fax: (907) 694-4773
Approximate (ZIP-level) locationGet directions
Mailing address
16839 Park Place St
Eagle River, AK 99577
Other names (DBA / former)
- Doing business as
- Eagle River Dermatology Inc
Registry dates
- Enumerated
- 2018-02-06
- Last updated
- 2018-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.