Amanda Michelle Outly, PA

NPI #1003298969 in Niceville, Florida

Provider Information

NPI Number
1003298969
Entity Type
Individual
Name
Amanda Michelle Outly, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 26, 2015
Last Updated
Jan 17, 2019

Practice Location

Address
2001 E. HIGHWAY 20
Address 2
FAMILY MEDICINE DEPARTMENT
State
Florida
ZIP Code
32578-8826
Phone
(850) 897-6600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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