Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle River Dermatology Inc

Organization Dermatology Physician · NPI 1750880654

Eagle River Dermatology Inc is a Dermatology Physician in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2018.

Licensed in
AK
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16839 Park Place St
Eagle River, AK 99577
Phone: (907) 694-3303
Fax: (907) 694-4773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence AK503 (AK)

Record details

NPI number1750880654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay Proctor — Office Manager · (907) 694-3303
Other names Eagle River Dermatology Inc
NPI enumeratedFebruary 6, 2018
Last updated in NPPESFebruary 6, 2018
Mailing address16839 Park Place St, Eagle River, AK 99577