Individual
MARK VICTOR RESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11472 KENAI SPUR HWY, SUITE #2, KENAI, AK 99611-7756
(907) 283-6030
(907) 283-3194
Mailing address
11472 KENAI SPUR HWY, SUITE #2, KENAI, AK 99611-7756
(907) 283-6030
(907) 283-3194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
344
AK
Other
Enumeration date
04/23/2007
Last updated
05/21/2014
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