Amy Marie Poncelow, PA-C

NPI #1043688328 in Chariton, Iowa

Provider Information

NPI Number: 1043688328
Entity Type: Individual
Name: Amy Marie Poncelow, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 3, 2015
Last Updated: Sep 3, 2015

Practice Location

Address: 1200 N 7TH ST
City: Chariton
State: Iowa
ZIP Code: 50049-1210
Phone: (515) 250-6013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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