MEDICARE: DR. JOSEPH MCLAUGHLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	5417	AK

General Provider Information

NPI Number	:	1245523257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MCLAUGHLIN MD

Provider Business Mailing Address
First Line	:	3601 C ST STE 540
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-5932
Country	:	US
Telephone Number	:	907-269-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 C ST STE 540
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-5932
Country	:	US
Telephone Number	:	907-269-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	05/24/2011

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