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NPI Code Detail

MEDICARE: DR. ELIZABETH JANE FONTANA M.D

MEDICARE: DR. ELIZABETH JANE FONTANA M.D
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
1207T00000XNeurological Surgery Physician249628AK

General Provider Information

NPI Number : 1730332594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH JANE FONTANA M.D
Provider Business Mailing Address
First Line : 301 W NORTHERN LIGHTS BLVD STE 400
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2648
Country : US
Telephone Number : 907-563-4810
Fax Number : 907-563-4811
Provider Business Practice Location Address
First Line : 301 W NORTHERN LIGHTS BLVD STE 400
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2648
Country : US
Telephone Number : 907-563-4810
Fax Number : 907-563-4811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2008
Last Update Date : 05/26/2026

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