Individual provider · Type 1 NPI
Pamela R. Koehler, PA
Medical Physician Assistant · Fort Bragg, CA
NPI number
1255651063
Active
Practice location
721A River Dr
Fort Bragg, CA 95437-5402
Fax (707) 964-4631
Mailing address
721 River Drive, Suite A
Fort Bragg, CA 95437-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 13556 (CA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Fort Bragg
About NPI 1255651063
Pamela R. Koehler, PA's National Provider Identifier is 1255651063, issued on Jun 3, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, CA. The record was last updated on Jun 3, 2010.