Individual
MRS. AMANDA LEAH SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8101 MCCLURE DR STE 100, FORT SMITH, AR 72916-6044
(479) 459-6528
Mailing address
8101 MCCLURE DR STE 100, FORT SMITH, AR 72916-6044
(479) 459-6528
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
PA-476
AR
363A00000X
Physician Assistant
P-T1217
AR
363A00000X
Physician Assistant
PA-476
AR
Other
Enumeration date
05/08/2012
Last updated
03/11/2019
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