Individual provider · Type 1 NPI
Mandy Suzanne Mooneyham, PA-C
Surgical Physician Assistant · Fayetteville, AR
NPI number
1831391655
Active
Practice location
3053 N College Ave
Fayetteville, AR 72703-3417
Fax (479) 442-4518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA-329 (AR) |
| Surgical Physician Assistant | 363AS0400X | 2007002747 (MO) |
| Surgical Physician Assistant | 363AS0400X | P-T0716 (AR) |
| Surgical Physician Assistant | 363AS0400X | 2266 (OK) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Fayetteville
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- Farrah A. Jennings, PA-CSurgical Physician Assistant Fayetteville, AR NPI 1316485857
- Gregory A. Ehrler, PA-CSurgical Physician Assistant Fayetteville, AR NPI 1326144320
- Thomas Godon Simmons, P.A.Surgical Physician Assistant Fayetteville, AR NPI 1366422404
- Megan Grove, PA-CSurgical Physician Assistant Fayetteville, AR NPI 1609485663
About NPI 1831391655
Mandy Suzanne Mooneyham, PA-C's National Provider Identifier is 1831391655, issued on Jun 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fayetteville, AR. The record was last updated on Nov 22, 2013.