Provider Demographics
NPI:1306856976
Name:PALMER, WILLIAM M (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3268 HOSPITAL DR
Mailing Address - Street 2:STE E
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-586-1895
Mailing Address - Fax:907-586-2595
Practice Address - Street 1:3268 HOSPITAL DR
Practice Address - Street 2:STE E
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7800
Practice Address - Country:US
Practice Address - Phone:907-586-1895
Practice Address - Fax:907-586-2595
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2011-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK1092208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1092Medicaid
C97199Medicare UPIN
AKMD1092Medicaid