Individual
ALYSSA PANOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3225 TIMBER FALL CT STE B, EUREKA, CA 95503-4892
(707) 442-5700
Mailing address
4291 COVER ST, BOZEMAN, MT 59718-1980
(315) 256-8088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1178678
—
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-98855
MT
Other
Enumeration date
11/11/2020
Last updated
12/14/2021
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