Sophia Titus

NPI #1922694520 in Mora, Minnesota

Provider Information

NPI Number: 1922694520
Entity Type: Individual
Name: Sophia Titus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 17, 2020
Last Updated: Sep 19, 2022

Practice Location

Address: 301 HIGHWAY 65 S
City: Mora
State: Minnesota
ZIP Code: 55051-1899
Phone: (320) 679-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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