MUMTAZ KHAN

FORT CAMPBELL, KY
NPI1093795726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1919)
Enumeration Date2006-01-19
Last Update Date2014-10-27
Business Address
-- MUMTAZ KHAN PA
650 JOEL DR BLANCHFIELD HOSPITAL
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8388
Mailing Address
-- MUMTAZ KHAN PA
650 JOEL DR BLANCHFIELD HOSPITAL
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8388
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