NPI 1336599083

Mary Isom, PAC

Practitioner Physician Assistant Wahpeton, ND

Practice location

Address: 332 2nd Ave N, Wahpeton, ND 58075-4528
Phone: (701) 642-7000
Mailing address: 1366 17th Ave N, Wahpeton, ND 58075-3139

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in North Dakota →

Registry record

NPI: 1336599083
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2016
Record last updated: 14 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.