| Mark Overas, PA-C | |
|
355 N Main St, Kanab, UT 84741-3260 | |
| (435) 644-4100 | |
| (435) 644-3366 |
| Full Name | Mark Overas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 355 N Main St, Kanab, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376511261 | NPI | - | NPPES |
| 762931 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2756 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 8663450-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Overas, PA-C 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 812-4673 | Mark Overas, PA-C 355 N Main St, Kanab, UT 84741-3260 Ph: (435) 644-4100 |
Wayne S Nielson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4179 Fax: 435-644-3588 | |
Clinton T Dowse, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |