Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME O LIST, D.D.S., M.D.
ActiveOtolaryngology · EAGLE RIVER, AK
Registration Details
- NPI Number
- 1093776080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2006 (20.077722882444 yrs)
- Last Updated
- Apr 30, 2024
- Licenses
-
329599 (NY)2607 (AK)
Practice Information
- Address
-
12641 OLD GLENN HWY STE 201EAGLE RIVER, AK, 995777040Browse AK providers · Browse ZIP 99577
- Phone
- 9075611421
- Fax
- 9075610327
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.