Jared Allen Pendergrass, PA-C

NPI #1780282863 in Aurora, Missouri

Provider Information

NPI Number
1780282863
Entity Type
Individual
Name
Jared Allen Pendergrass, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 12, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
500 PORTER AVE
City
Aurora
ZIP Code
65605-2365
Phone
(417) 678-7888

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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