Individual
HALEY JO PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-9812
(417) 269-9853
Mailing address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/07/2026
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