Provider Demographics
NPI:1134583032
Name:SCHAFER, ROBERT KILIAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KILIAN
Last Name:SCHAFER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 DALE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5496
Mailing Address - Country:US
Mailing Address - Phone:907-562-2944
Mailing Address - Fax:
Practice Address - Street 1:4001 DALE ST STE 213
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5445
Practice Address - Country:US
Practice Address - Phone:907-562-2944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK138976208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics