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Individual

PAMELA L. BAHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
HWY 264 MMP 388, POLACCA, AZ 86042
(928) 737-6000
(928) 737-6001
Mailing address
PO BOX 4000, POLACCA, AZ 86042
(928) 737-6000
(928) 737-6001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN111259
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
893067
AZ
Enumeration date
08/30/2006
Last updated
10/01/2015
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