MRS. Chauntel Joyce Ditommaso, PA

NPI #1184098246 in Hugo, Oklahoma

Provider Information

NPI Number: 1184098246
Entity Type: Individual
Name: MRS. Chauntel Joyce Ditommaso, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 30, 2015
Last Updated: Nov 30, 2015

Practice Location

Address: 1201 E JACKSON ST
City: Hugo
State: Oklahoma
ZIP Code: 74743-4229
Phone: (580) 326-6423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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