Individual
AMY L MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 2ND ST, PONCA, NE 68770
(402) 755-2231
(402) 755-4100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1279
SD
363AM0700X
Medical Physician Assistant
Primary
768
NE
Other
Enumeration date
04/18/2006
Last updated
04/22/2021
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