Provider Demographics
NPI:1649504267
Name:SAVIKKO, JASON ROBERT (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:ROBERT
Last Name:SAVIKKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 140349
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99514-0349
Mailing Address - Country:US
Mailing Address - Phone:907-279-7975
Mailing Address - Fax:907-792-7901
Practice Address - Street 1:2741 DEBARR RD
Practice Address - Street 2:SUITE 401
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2961
Practice Address - Country:US
Practice Address - Phone:907-792-7975
Practice Address - Fax:907-792-7901
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK83142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology