| Mark T. Kowal Md Pc | |
|
1919 Lathrop St Suite 202 Fairbanks AK 99701-5937 | |
| (907) 451-5507 | |
| (907) 451-5590 |
| Full Name | Mark T. Kowal Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1919 Lathrop St, Fairbanks, Alaska |
| Authorized Official Name and Position | Mark Timothy Kowal (GENERAL SURGEON) |
| Authorized Official Contact | 9074515507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T. Kowal Md Pc 1919 Lathrop St Suite 202 Fairbanks AK 99701-5937 Ph: (907) 451-5507 | Mark T. Kowal Md Pc 1919 Lathrop St Suite 202 Fairbanks AK 99701-5937 Ph: (907) 451-5507 |
| NPI Number | 1205112240 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 12/27/2016 |
| Medicare PECOS PAC ID | 6608033840 |
|---|---|
| Medicare Enrollment ID | O20120131000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205112240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7319 (Alaska) | Primary |
| Provider Name | Mark T Kowal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285855239 PECOS PAC ID: 5597922740 Enrollment ID: I20120131000588 |
Polar Wind Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 140a, Fairbanks, AK 99701 Phone: 907-457-9355 Fax: 907-457-9356 | |
Alaska Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 203, Fairbanks, AK 99701 Phone: 907-456-2825 Fax: 907-451-0742 | |
University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
Joseph Daniel Grimes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3345 | |
Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |