Individual
DR. MARK TIMOTHY KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 LATHROP ST, STE 202, FAIRBANKS, AK 99701-5937
(907) 451-5507
(907) 451-5590
Mailing address
1919 LATHROP ST, STE 202, FAIRBANKS, AK 99701-5937
(907) 451-5507
(907) 451-5590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7319
AK
Other
Enumeration date
05/01/2007
Last updated
01/31/2017
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