Doctor Name: | JOY S. MOHR |
NPI Number: | 1275530370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P. A. |
License Number: | 001323 |
Business Practice Address: | 255 W Lucas St Marengo, IA - 523011331 |
Business Phone Number: | 3197416789 |
Business Fax Number: | 3197416791 |
Mailing Address: | 255 W Lucas St, MARENGO |
State: | IA |
Postal Code: | 523011331 |
Phone Number: | 3197416789 |
Fax Number: | 3197416791 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |