Provider Demographics
NPI:1144542143
Name:ROBERT R. ARTWOHL, M.D.,P.C.
Entity type:Organization
Organization Name:ROBERT R. ARTWOHL, M.D.,P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARTWOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-212-5035
Mailing Address - Street 1:3300 PROVIDENCE DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4671
Mailing Address - Country:US
Mailing Address - Phone:907-212-5035
Mailing Address - Fax:907-212-5658
Practice Address - Street 1:3300 PROVIDENCE DR
Practice Address - Street 2:SUITE 309
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4671
Practice Address - Country:US
Practice Address - Phone:907-212-5035
Practice Address - Fax:907-212-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty