Robert Niewoonder, PA-C

NPI #1346207610 in Moody Afb, Georgia

Provider Information

NPI Number: 1346207610
Entity Type: Individual
Name: Robert Niewoonder, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 28, 2006
Last Updated: Mar 30, 2020

Practice Location

Address: 3278 MITCHELL BLVD
City: Moody Afb
State: Georgia
ZIP Code: 31699-1500
Phone: (229) 292-3719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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