Individual
MRS. AMANDA E TAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-3809
Mailing address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-3809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022004923
MO
Other
Enumeration date
02/04/2022
Last updated
02/28/2022
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