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Eagle River Dermatology Inc

Dermatology Physician in Eagle River, AK · enumerated 2018 · authorized official Lindsay Proctor, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750880654

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle River Dermatology Inc
Other name <Unavail>
Practice address 16839 Park Place St, Eagle River, AK, 99577
Phone (907) 694-3303
Fax (907) 694-4773
Enumeration date Feb 6, 2018
Last updated in NPPES Feb 6, 2018

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License AK503 (AK) Primary

Authorized official

Name Lindsay Proctor
Title Office Manager
Phone (907) 694-3303

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Eagle River Dermatology Inc?
The NPI for Eagle River Dermatology Inc is 1750880654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Eagle River Dermatology Inc?
NPPES lists Lindsay Proctor (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-06.