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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOMODOU SALLAH, PA-C

Active

MOMODOU SALLAH, PA-C is a Medical Physician Assistant healthcare provider located in MARION, Illinois. NPI 1598876617 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MARION, IL

Registration Details

NPI Number
1598876617
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (20.00099361911 yrs)
Last Updated
Aug 3, 2009
Licenses
85001515 (IL)
085001515 (IL)

Practice Information

Address
2401 W MAIN ST
MARION, IL, 629591188
Browse IL providers · Browse ZIP 62959
Phone
6189975311
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Emergency Medicine

Other Medical Physician Assistant Providers in MARION, IL

Name Credential NPI
MS. MELISSA ANN SMOOT PAC, MPAS 1215902549
LOUIS FLAGIN PA-C 1558307918
MRS. MAIRLYN LOUISE MCDONALD - 1144247727
KATHRYN MARIE MCMURPHY PA-C 1528178860
JOSHUA SMITH PA-C 1356892004
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.