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

MANDY SUZANNE MOONEYHAM, PA-C

Active

MANDY SUZANNE MOONEYHAM, PA-C is a Surgical Physician Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1831391655 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FAYETTEVILLE, AR

Registration Details

NPI Number
1831391655
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2007 (19.189903850855 yrs)
Last Updated
Nov 22, 2013
Licenses
PA-329 (AR)
2007002747 (MO)
P-T0716 (AR)
2266 (OK)

Practice Information

Address
3053 N COLLEGE AVE
FAYETTEVILLE, AR, 727033417
Browse AR providers · Browse ZIP 72703
Phone
4794632000
Fax
4794424518
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in FAYETTEVILLE, AR

Name Credential NPI
MR. THOMAS GODON SIMMONS P.A. 1366422404
MR. GREGORY A. EHRLER PA-C 1326144320
FARRAH A JENNINGS PA-C 1316485857
MEGAN GROVE PA-C 1609485663
MOOREA LEIGH MASSA PA-C 1013664093
MR. TAYLOR JARED SITES PA-C 1154031987
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.