Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK VICTOR RESTAD, PA-C
Active Sole ProprietorMARK VICTOR RESTAD, PA-C is a Physician Assistant healthcare provider located in KENAI, Alaska. NPI 1114145174 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KENAI, AK
Registration Details
- NPI Number
- 1114145174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.352841893465 yrs)
- Last Updated
- May 21, 2014
- License
-
344 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11472 KENAI SPUR HWYSUITE #2KENAI, AK, 996117756Browse AK providers · Browse ZIP 99611
- Phone
- 9072836030
- Fax
- 9072833194
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KENAI, AK
| Name | Credential | NPI |
|---|---|---|
| MS. RENE' D. KENNEY | RN, PA-C | 1124001516 |
| MR. JARED LEE WALLACE | PA-C | 1063746667 |
| MR. MARK R MENCEL | PA-C | 1417257908 |
| ROBERT VERNON MCRORIE JR. | — | 1972906899 |
| SARAH ASHLEY KURKA | PA-C | 1649167453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.