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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN G JOLLEY, MD

Active Sole Proprietor

STEPHEN G JOLLEY, MD is a Pediatric Surgery healthcare provider located in SOLDOTNA, Alaska. NPI 1699717579 is currently active in the NPPES registry. Verify at CMS.

Pediatric Surgery · SOLDOTNA, AK

Registration Details

NPI Number
1699717579
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2006 (20.191370023971 yrs)
Last Updated
Jun 30, 2015
License
1956 (AK)
Sole Proprietor
Yes

Practice Information

Address
271 UPPER ROSIAN DR
SOLDOTNA, AK, 996697867
Browse AK providers · Browse ZIP 99669
Phone
9073824480
Primary Specialty
Pediatric Surgery
2086S0120X
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.