MIKAELA ALTIS, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1366053241
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1366053241 is the National Provider Identifier for MIKAELA ALTIS, PA-C, a Physician Assistant - Medical provider located in Fort Leavenworth, KS. This NPI was enumerated on August 13, 2020.
MIKAELA ALTIS, PA-C practices at 550 POPE AVE, Fort Leavenworth, KS 66027.
Quick Facts
- NPI
- 1366053241
- Type
- Individual
- Enumerated
- Aug 13, 2020
- Last Updated
- Oct 18, 2024
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