Provider Demographics
NPI:1629365267
Name:ALTER, JOSEPH MOSS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MOSS
Last Name:ALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DUBENION
Other - Middle Name:JOSEPH
Other - Last Name:MOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 718
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-0718
Mailing Address - Country:US
Mailing Address - Phone:907-746-7511
Mailing Address - Fax:907-746-7533
Practice Address - Street 1:2500 S WOODWORTH LOOP
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645
Practice Address - Country:US
Practice Address - Phone:907-861-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2018-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMED T 8202207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine