Healthcare Provider Details

I. General information

NPI: 1295294510
Provider Name (Legal Business Name): ERIC RICE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 1ST AVE
SEWARD AK
99664
US

IV. Provider business mailing address

PO BOX 85
SEWARD AK
99664-0085
US

V. Phone/Fax

Practice location:
  • Phone: 907-224-5205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number237951
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: