Individual
SAMANTHA PUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-2203
Mailing address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1202733
—
363A00000X
Physician Assistant
Primary
2023009782
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2022
Last updated
04/03/2023
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