Individual
CHESTER MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0287
(907) 543-6300
Mailing address
PO BOX 287, BETHEL, AK 99559-0287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
234
AK
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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