person
Rebecca Lynn Mittelstadt, PA
Surgical Physician Assistant in Prattville, Alabama
NPI 1841267226

Rebecca Lynn Mittelstadt is a Surgical Physician Assistant based in Prattville, AL and is specialized in Surgical. Rebecca Lynn Mittelstadt practices in Prattville, AL and has the professional credentials of PA. The NPI Number for Rebecca Lynn Mittelstadt is 1841267226 and holds a License No. PA405 (Alabama).

The current practice location address for Rebecca Lynn Mittelstadt is 2709 Legends Pkwy, Prattville, AL and can be reached out via phone at 334-310-1117.

Location: 2709 Legends Pkwy, Prattville, AL, 36066-7755
person
Provider Profile Details
NPI Number
1841267226
Provider Name
Rebecca Lynn Mittelstadt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2709 Legends Pkwy, Prattville, AL, 36066-7755
Phone Number
334-310-1117
Fax Number
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51000413 01 AL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2709 Legends Pkwy
City
State
Zip
36066-7755
Phone Number
334-310-1117
Fax Number
person
Provider Business Mailing Address Details
Address
2709 Legends Pkwy
City
State
Zip
36066-7755
Phone Number
334-310-1117
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA405 (Alabama)
Definition
Definition to come...
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