| Alyssa Wahlstrom, PA-C | |
|
12075 E State Route 69 Ste B, Dewey, AZ 86327-4569 | |
| (928) 772-1673 | |
| (928) 772-1674 |
| Full Name | Alyssa Wahlstrom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 12075 E State Route 69 Ste B, Dewey, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588492151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10502 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Wahlstrom, PA-C 12075 E State Route 69 Ste B, Dewey, AZ 86327-4569 Ph: (928) 772-1673 | Alyssa Wahlstrom, PA-C 12075 E State Route 69 Ste B, Dewey, AZ 86327-4569 Ph: (928) 772-1673 |
Mr. Richard L D'armand, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13175 E Highway 169, Dewey, AZ 86327 Phone: 928-632-1155 Fax: 928-632-8295 | |
Tatyana Erdmann, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12075 E State Route 69 Ste B, Dewey, AZ 86327 Phone: 928-772-1673 Fax: 928-772-1674 | |
Heather Moutvic, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12075 E State Route 69, Dewey, AZ 86327 Phone: 928-772-1673 | |
Candace Oen, P. A. -C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 13175 E Highway 169, Dewey, AZ 86327 Phone: 928-632-0111 |