Provider Demographics
NPI:1841283256
Name:ARTWOHL, ROBERT R (MD PC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:ARTWOHL
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3300 PROVIDENCE DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4616
Mailing Address - Country:US
Mailing Address - Phone:907-261-5035
Mailing Address - Fax:907-261-5658
Practice Address - Street 1:3300 PROVIDENCE DR
Practice Address - Street 2:SUITE 309
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4616
Practice Address - Country:US
Practice Address - Phone:907-261-5035
Practice Address - Fax:907-261-5658
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK3837208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD3837Medicaid
AKMD3837Medicaid
AK150263Medicare ID - Type Unspecified
B41957Medicare UPIN