Provider Demographics
NPI:1316158678
Name:TILGNER, ARTHUR DEWEY (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DEWEY
Last Name:TILGNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39238
Mailing Address - Street 2:
Mailing Address - City:NINILCHIK
Mailing Address - State:AK
Mailing Address - Zip Code:99639-0238
Mailing Address - Country:US
Mailing Address - Phone:907-567-7478
Mailing Address - Fax:
Practice Address - Street 1:5011 SPENARD RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-3401
Practice Address - Country:US
Practice Address - Phone:907-245-4359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK993208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice