Amber Leigh Poettker PA-C

NPI 1417252453 - Physician Assistant - 363A00000X

NPI Details
NPI 1417252453
Gender Female
Enumeration Date 01/24/2011
Last Updated 01/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
9401 HOLY CROSS LN
SUITE 112
BREESE IL, 62230-3510, US
Phone (618) 526-7271
Fax
Business Location
9401 HOLY CROSS LN
SUITE 112
BREESE IL, 62230-3510, US
Phone (618) 526-7271
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085.003978
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According to our database, Mrs. Amber Leigh Poettker PA-C NPI is 1417252453, taxonomy code is 363A00000X and license number is 085.003978, license state is located at Illinois. Amber Leigh Poettker PA-C physically located at 9401 Holy Cross Ln, Breese IL, 62230-3510. NPI Number Amber Leigh Poettker PA-C has the Individual type.

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1417252453 NPI number is provided on an as is basis without warranty of any kind. 1417252453 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Leigh Poettker PA-C are for informational purposes only.