Provider Demographics
NPI:1649699612
Name:URBI, ANTHONY-EDWARD K (ATC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY-EDWARD
Middle Name:K
Last Name:URBI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 JONY DAN LN
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6333
Mailing Address - Country:US
Mailing Address - Phone:907-388-8481
Mailing Address - Fax:
Practice Address - Street 1:675 RAVENS WAY
Practice Address - Street 2:
Practice Address - City:EIELSON AFB
Practice Address - State:AK
Practice Address - Zip Code:99702-1308
Practice Address - Country:US
Practice Address - Phone:907-372-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer