MINDY SOUTHAMMAVONG, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1528434859
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 078982 (IA) |
Frequently Asked Questions
NPI 1528434859 is the National Provider Identifier for MINDY SOUTHAMMAVONG, PA-C, a Physician Assistant - Medical provider located in Pella, IA. This NPI was enumerated on August 20, 2015.
MINDY SOUTHAMMAVONG, PA-C practices at 405 MONROE ST, Pella, IA 50219.
Quick Facts
- NPI
- 1528434859
- Type
- Individual
- Enumerated
- Aug 20, 2015
- Last Updated
- May 1, 2017
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