Amy M Folsom PA

NPI 1053400457 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053400457
Gender Female
Enumeration Date 10/12/2006
Last Updated 04/12/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1019 N MAIN ST
SIKESTON MO, 63801-5043, US
Phone (573) 472-7702
Fax (573) 472-7719
Business Location
1008 N MAIN ST
SIKESTON MO, 63801-5044, US
Phone (573) 472-7406
Fax (573) 472-6006
Taxonomy Code 363AM0700X
License State Missouri
License Number 2000150362
Remove 1053400457 NPI Number

According to our database, Amy M Folsom PA NPI is 1053400457, taxonomy code is 363AM0700X and license number is 2000150362, license state is located at Missouri. Amy M Folsom PA physically located at 1019 N Main St, Sikeston MO, 63801-5043. NPI Number Amy M Folsom PA has the Individual type.

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1053400457 NPI number is provided on an as is basis without warranty of any kind. 1053400457 is maintained by the National Plan & Provider Enumeration System. The contents of Amy M Folsom PA are for informational purposes only.