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MINDY SOUTHAMMAVONG, PA-C

PA-C

Medical Physician Assistant

NPI: 1528434859IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

078982(IA)

CMS Specialties

Education

OTHER

Class of 2015

Contact & Hours

Address
405 MONROE ST
PELLA, IA 50219

Quick Facts

NPI
1528434859
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
11

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