Provider Demographics
NPI:1679642714
Name:GEORGE R VRABLIK MD APC
Entity Type:Organization
Organization Name:GEORGE R VRABLIK MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:VRABLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-452-5771
Mailing Address - Street 1:1919 LATHROP ST
Mailing Address - Street 2:STE 108
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701
Mailing Address - Country:US
Mailing Address - Phone:907-452-5771
Mailing Address - Fax:907-452-5544
Practice Address - Street 1:1919 LATHROP ST
Practice Address - Street 2:STE 108
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701
Practice Address - Country:US
Practice Address - Phone:907-452-5771
Practice Address - Fax:907-452-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1663207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1663Medicaid
C97270Medicare UPIN
AKMD1663Medicaid