Paulette Ong, PA-C
Physician Assistant, Medical in Davenport, IA. Individual provider (NPI-1).
NPI number1477528073
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1477528073
- Entity type
- Individual (NPI-1)
- Name
- Ms. Paulette Ong
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2006
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 001272 | IA | Yes |
| 363AM0700X | Physician Assistant, Medical | 085001740 | IL |
Practice location
1801 E 54th StSte 100
Davenport, IA 52807-7209
Phone 563-323-1229 · Fax 563-323-8240
Mailing address
1801 E 54th St Ste 100Davenport, IA 52807-7214
Phone 563-323-1229 · Fax 563-323-8240
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All 9 Medical Physician Assistant providers in Davenport · All 2,731 providers in Davenport
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