Mr. MARK R MENCEL PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1417257908- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 416 FRONTAGE RD STE 400, KENAI, AK, 996117770
- Phone
- (877) 522-1275
- Fax
- (833) 888-7145
Specialties & Taxonomies
Physician Assistant
Primary License: MT #MED-PAC-LIC-27456
Physician Assistant, Medical
License: NM #PA2012-0061