Individual
AMBER LEIGH FRANTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
307 E SCENIC VALLEY AVE, INDIANOLA, IA 50125-4865
(515) 961-8448
(515) 643-9100
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 961-8448
(515) 643-9100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001675
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001675
STATE PA LICENSE
IA
01
—
1069814
NCCPA
IA
01
—
5100916
CSA
IA
Enumeration date
08/31/2006
Last updated
03/07/2023
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