Mariah Stacy Gann, PA-C

NPI #1851077408 in Columbia, Missouri

Provider Information

NPI Number
1851077408
Entity Type
Individual
Name
Mariah Stacy Gann, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 27, 2023
Last Updated
Aug 20, 2025

Practice Location

Address
525 N KEENE ST STE 301
ZIP Code
65201-8106
Phone
(573) 449-2141

Specialties & Taxonomy Codes

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

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