Individual
ALYSSA BRIANNE SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Mailing address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001210
IN
363A00000X
Physician Assistant
1689
MN
363AM0700X
Medical Physician Assistant
Primary
PA-734
AR
363AS0400X
Surgical Physician Assistant
MA07081
PA
Other
Enumeration date
09/13/2010
Last updated
05/25/2023
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