Mindy Baccam Southammavong, PA-C
NPI #1528434859 in Pella, Iowa
Provider Information
- NPI Number
- 1528434859
- Entity Type
- Individual
- Name
- Mindy Baccam Southammavong, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 20, 2015
- Last Updated
- May 1, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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