Doctor Name: | ABBY CLING |
NPI Number: | 1144605270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 078552 |
Business Practice Address: | 1221 S Gear Ave West Burlington, IA - 526551679 |
Business Phone Number: | 7632188581 |
Business Fax Number: | |
Mailing Address: | 1221 S Gear Ave, WEST BURLINGTON |
State: | IA |
Postal Code: | 526551679 |
Phone Number: | 7632188581 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 078552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |