MRS. Amanda Lee Taglioli, PA-C
NPI #1073794269 in Custer, South Dakota
Provider Information
- NPI Number
- 1073794269
- Entity Type
- Individual
- Name
- MRS. Amanda Lee Taglioli, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 16, 2007
- Last Updated
- Sep 23, 2015
Practice Location
- Address
- 1041 MONTGOMERY STREET
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1304
- Phone
- (605) 673-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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