Carly Mauch, PA-C

NPI #1679758700 in Roseburg, Oregon

Provider Information

NPI Number
1679758700
Entity Type
Individual
Name
Carly Mauch, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 8, 2008
Last Updated
Nov 29, 2017

Practice Location

Address
1813 W HARVARD AVE
Address 2
SUITE #310
State
Oregon
ZIP Code
97471-2752
Phone
(541) 672-7546

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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