Mindy Baccam Southammavong is a Medical Physician Assistant based in Pella, IA and is specialized in Medical. Mindy Baccam Southammavong practices in Pella, IA and has the professional credentials of PA-C. The NPI Number for Mindy Baccam Southammavong is 1528434859 and holds a License No. 078982 (Iowa).
The current practice location address for Mindy Baccam Southammavong is 405 Monroe St, Pella, IA and can be reached out via phone at 641-621-2200 and via fax at 641-621-2335. You can also correspond with Mindy Baccam Southammavong through the mailing address at 405 MONROE ST, PELLA, IA - 50219-1189 (mailing address contact number: 641-621-2200).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528434859 | 01 | IA | NPI NUMBER |
| 078982 | 01 | IA | IOWA LICENSE |
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