Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Patrick Mouty, PA-C

Individual provider Physician Assistant · NPI 1538191861

Mr. Mark Patrick Mouty, PA-C is a Physician Assistant in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

751 Old Richardson Hwy Ste # 200
Fairbanks, AK 99701-7813
Phone: (907) 451-6561
Fax: (907) 451-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 696 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 696 (AK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 696 (AK)

Record details

NPI number1538191861
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 11, 2025

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