Mark Victor Restad, PA-C

NPI #1114145174 in Kenai, Alaska

Provider Information

NPI Number: 1114145174
Entity Type: Individual
Name: Mark Victor Restad, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 23, 2007
Last Updated: May 21, 2014

Practice Location

Address: 11472 KENAI SPUR HWY
Address 2: SUITE #2
City: Kenai
State: Alaska
ZIP Code: 99611-7756
Phone: (907) 283-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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