Basic Information
| Provider Information | |||||||||
| NPI: | 1154663680 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARTINJAK | ||||||||
| FirstName: | TERIN | ||||||||
| MiddleName: | HOWARD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4300 B ST STE 200 | ||||||||
| Address2: | THE ALASKA HOSPITALIST GROUP | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995035933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073753355 | ||||||||
| FaxNumber: | 9073753351 | ||||||||
| Practice Location | |||||||||
| Address1: | 975 KIRMAN AVE # 111 | ||||||||
| Address2: | INTERNAL MEDICINE | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895020993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753281429 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2013 | ||||||||
| LastUpdateDate: | 07/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | LL2433 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.