Mark T. Kowal MD PC

NPI #1205112240 in Fairbanks, Alaska

Provider Information

NPI Number: 1205112240
Entity Type: Organization
Organization Name: Mark T. Kowal MD PC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 21, 2011
Last Updated: Dec 27, 2016

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 202
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 451-5507

Authorized Official

Name: DR. MARK TIMOTHY KOWAL, MD
Title: GENERAL SURGEON
Phone: (907) 451-5507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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