Individual
REBECCA CLONINGER
Active
Individual
REBECCA CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056930
PA
363AM0700X
Medical Physician Assistant
OA003316
PA
363AS0400X
Surgical Physician Assistant
Primary
MA056930
PA
363AS0400X
Surgical Physician Assistant
OA003316
PA
Other
Enumeration date
07/10/2014
Last updated
08/03/2026
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