Mr Mark Edward Withrow, MD | |
1818 E Rezanof Dr, Kodiak, AK 99615 | |
(907) 486-6065 | |
(907) 486-2248 |
Full Name | Mr Mark Edward Withrow |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1818 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417920497 | NPI | - | NPPES |
MD1478 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | AA1478 (Alaska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Edward Withrow, MD 1818 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-6065 | Mr Mark Edward Withrow, MD 1818 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-6065 |
Diane C Wolkoff, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9870 Fax: 907-486-9898 | |
Mrs. Shana J Jones, RN General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9898 | |
Georgia J Blain, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9870 Fax: 907-486-9898 | |
Nadiya James, RN General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9898 | |
Bettye Plyler, LPN General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 East Rezanof Drive, Kodiak, AK 99615 Phone: 907-486-9870 Fax: 907-486-9898 | |
Judith K Spoerer, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9870 Fax: 907-486-9898 |