Doctor Name: | DR. ARTHUR DEWEY TILGNER |
NPI Number: | 1316158678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | AK993 |
Business Practice Address: | 5011 Spenard Rd Anchorage, AK - 995173401 |
Business Phone Number: | 9072454359 |
Business Fax Number: | |
Mailing Address: | Po Box 39238, NINILCHIK |
State: | AK |
Postal Code: | 996390238 |
Phone Number: | 9075677478 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AK993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |