Phyllis Johnna Manna, PA-C

NPI #1528294667 in Branson, Missouri

Provider Information

NPI Number
1528294667
Entity Type
Individual
Name
Phyllis Johnna Manna, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 3, 2009
Last Updated
Oct 17, 2019

Practice Location

Address
101 SKAGGS RD
Address 2
SUITE 302
ZIP Code
65616-2075
Phone
(417) 334-8288

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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