OrganizationActive
Mark T. Kowal MD PC
NPI 1205112240 · Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1205112240
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kowal, General Surgeon(907) 451-5507
- License
- 7319 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1919 Lathrop St
Suite 202
Fairbanks, AK 99701-5937
Phone: (907) 451-5507
Fax: (907) 451-5590
Approximate (ZIP-level) locationGet directions
Mailing address
1919 Lathrop St
Fairbanks, AK 99701-5937
Registry dates
- Enumerated
- 2011-10-21
- Last updated
- 2016-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.