MARK ANDREW MALZAHN P.A.-C.
NPI 1003917386
Physician Assistant - Medical in Anchorage, AK
Active since September 26, 2006
4100 LAKE OTIS PKWY, #302, ANCHORAGE, AK 99508(907) 563-7072(907) 562-5742 Get Directions Write a Review
About Mark Andrew Malzahn P.a.-c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ANDREW MALZAHN P.A.-C. (NPI 1003917386) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (453) and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1003917386
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK ANDREW MALZAHNCredential: P.A.-C.
Location Address4100 LAKE OTIS PKWY, #302Anchorage, AK 99508-5222
Mailing Address4100 Lake Otis Pkwy, #302Anchorage, AK 99508-5222 · (907) 563-7072 · Fax (907) 562-5742
Phone(907) 563-7072
Fax(907) 562-5742
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003917386 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 453
4100 LAKE OTIS PKWY, Anchorage, AK 99508
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Ambulatory Surgical)
4100 LAKE OTIS PKWY, SUITE 212
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Nurse Anesthetist, Certified Registered
4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Specialist/Technologist (Athletic Trainer)
4100 LAKE OTIS PKWY, SUITE 106
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003917386, enumerated as an "individual" on September 26, 2006.
The provider is located at 4100 LAKE OTIS PKWY #302 ANCHORAGE, AK 99508 and the phone number is (907) 563-7072.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.