Amanda Leigh Gwin PA-C

NPI 1710303250 - Physician Assistant - 363A00000X

NPI Details
NPI 1710303250
Gender Female
Enumeration Date 03/07/2014
Last Updated 08/12/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1 MEDICAL PARK DR
BENTON AR, 72015-3353, US
Phone (501) 776-6093
Fax (501) 776-6019
Business Location
1 MEDICAL PARK DR
BENTON AR, 72015-3353, US
Phone (501) 776-6093
Fax (501) 776-6019
Toxanomy
Taxonomy Code 363A00000X
License State Arkansas
License Number PA550
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According to our database, Mrs. Amanda Leigh Gwin PA-C NPI is 1710303250, taxonomy code is 363A00000X and license number is PA550, license state is located at Arkansas. Amanda Leigh Gwin PA-C physically located at 1 Medical Park Dr, Benton AR, 72015-3353. NPI Number Amanda Leigh Gwin PA-C has the Individual type.

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1710303250 NPI number is provided on an as is basis without warranty of any kind. 1710303250 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Leigh Gwin PA-C are for informational purposes only.