Pamela A Hansen, PA-C

NPI #1245306166 in Mendota, Illinois

Provider Information

NPI Number: 1245306166
Entity Type: Individual
Name: Pamela A Hansen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 24, 2006
Last Updated: Apr 13, 2009

Practice Location

Address: 1315 MEMORIAL DR
City: Mendota
State: Illinois
ZIP Code: 61342-1447
Phone: (815) 539-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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