Healthcare Provider Details

I. General information

NPI: 1841283256
Provider Name (Legal Business Name): ROBERT R ARTWOHL MD PC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 PROVIDENCE DR SUITE 309
ANCHORAGE AK
99508-4616
US

IV. Provider business mailing address

3300 PROVIDENCE DR SUITE 309
ANCHORAGE AK
99508-4616
US

V. Phone/Fax

Practice location:
  • Phone: 907-261-5035
  • Fax: 907-261-5658
Mailing address:
  • Phone: 907-261-5035
  • Fax: 907-261-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number3837
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: