Individual
ANGELA HEATHER VEDIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2829 S JACKSON AVE, JOPLIN, MO 64804-2525
(417) 624-0440
(417) 624-9652
Mailing address
2829 S JACKSON AVE, JOPLIN, MO 64804-2525
(417) 624-0440
(417) 624-9652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003002304
MO
Other
Enumeration date
10/13/2005
Last updated
08/08/2017
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