Pamela A Hansen PA-C

NPI 1245306166 - Physician Assistant - 363A00000X

NPI Details
NPI 1245306166
Gender Female
Enumeration Date 11/24/2006
Last Updated 04/13/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1315 MEMORIAL DR
MENDOTA IL, 61342-1447, US
Phone (815) 539-1422
Fax (815) 539-1436
Business Location
1315 MEMORIAL DR
MENDOTA IL, 61342-1447, US
Phone (815) 539-1422
Fax (815) 539-1436
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-000486
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According to our database, Pamela A Hansen PA-C NPI is 1245306166, taxonomy code is 363A00000X and license number is 085-000486, license state is located at Illinois. Pamela A Hansen PA-C physically located at 1315 Memorial Dr, Mendota IL, 61342-1447. NPI Number Pamela A Hansen PA-C has the Individual type.

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1245306166 NPI number is provided on an as is basis without warranty of any kind. 1245306166 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela A Hansen PA-C are for informational purposes only.