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Organization

MARK T. KOWAL MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK TIMOTHY KOWAL MD (GENERAL SURGEON)
(907) 451-5507
Entity
Organization

Contact information

Practice address
1919 LATHROP ST, SUITE 202, FAIRBANKS, AK 99701-5937
(907) 451-5507
(907) 451-5590
Mailing address
1919 LATHROP ST, SUITE 202, FAIRBANKS, AK 99701-5937
(907) 451-5507
(907) 451-5590

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7319
AK

Other

Enumeration date
10/21/2011
Last updated
12/27/2016
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