Individual
AMANDA DAWN WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1408 CAMPBELL DR, SUITE 201, IRONTON, OH 45638-2301
(740) 534-9202
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-3534
(740) 532-4859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22920
WV
208000000X
Pediatrics Physician
Primary
35.130305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933446
—
OH
05
—
3810010436
—
WV
05
—
7100099360
—
KY
Enumeration date
05/09/2007
Last updated
03/17/2018
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