Individual
USA HONGYOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 S WILLARD ST, SUITE 115, COTTONWOOD, AZ 86326-6743
(928) 634-5551
(928) 634-5604
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812744
—
AZ
05
—
PA2781
—
CA
Enumeration date
08/15/2005
Last updated
12/07/2015
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