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Mr. Mark Patrick Mouty, PA-C
Surgical Physician Assistant in Fairbanks, Alaska
NPI 1538191861

Mark Patrick Mouty is a Surgical Physician Assistant based in Fairbanks, AK and is specialized in Surgical. Mark Patrick Mouty practices in Fairbanks, AK and has the professional credentials of PA-C. The NPI Number for Mark Patrick Mouty is 1538191861 and holds a License No. 696 (Alaska).

The current practice location address for Mark Patrick Mouty is 751 Old Richardson Hwy, Fairbanks, AK and can be reached out via phone at 907-451-6561 and via fax at 907-451-4847.

Location: 751 Old Richardson Hwy, Fairbanks, AK, 99701-7813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538191861
Provider Name
Mark Patrick Mouty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
751 Old Richardson Hwy, Fairbanks, AK, 99701-7813
Phone Number
907-451-6561
Fax Number
907-451-4847
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
696 01 AK STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
751 Old Richardson Hwy
City
Fairbanks
State
Alaska
Zip
99701-7813
Phone Number
907-451-6561
Fax Number
907-451-4847
person
Provider Business Mailing Address Details
Address
751 Old Richardson Hwy
City
Fairbanks
State
Alaska
Zip
99701-7813
Phone Number
907-451-6561
Fax Number
907-451-4847
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
696 (Alaska)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
696 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
696 (Alaska)
Definition
Definition to come...
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