Individual
MRS. MELISSA N GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001504
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538153846
NPI
—
Enumeration date
09/01/2005
Last updated
05/27/2015
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