Amanda Thoburn
NPI #1225699127 in Grafton, West Virginia
Provider Information
- NPI Number
- 1225699127
- Entity Type
- Individual
- Name
- Amanda Thoburn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 22, 2019
- Last Updated
- Apr 8, 2022
Practice Location
- Address
- 2627 PAUL E MALONE RD
- City
- Grafton
- State
- West Virginia
- ZIP Code
- 26354-7141
- Phone
- (304) 771-7887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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