Amy Marie Poncelow, PA-C Valid NPI
Individual provider · Physician Assistant · Chariton, IA
- NPI
- 1043688328
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 079224 (IA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Practice location
1200 N 7th St
Chariton, IA 50049-1210
(515) 250-6013