Individual
ALLISON MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
998 S DORSET RD, SUITE 301, TROY, OH 45373-4753
(937) 339-5441
Mailing address
998 S DORSET RD, SUITE 301, TROY, OH 45373-4753
(937) 339-5441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003594
OH
363AM0700X
Medical Physician Assistant
PA9106254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076383
—
OH
Enumeration date
10/21/2011
Last updated
11/22/2013
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