MRS. Amanda Leigh Hakes

NPI #1104534148 in Columbia, Missouri

Provider Information

NPI Number: 1104534148
Entity Type: Individual
Name: MRS. Amanda Leigh Hakes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 8, 2022
Last Updated: Feb 2, 2023

Practice Location

Address: 500 N KEENE ST STE 306
City: Columbia
State: Missouri
ZIP Code: 65201-8104
Phone: (573) 817-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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