Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jan 1, 2018
License(s)
MD489291 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 814-231-4560 |
| LOCATION | 200 SCENERY DR | State College, PA 16801-7974 | 814-231-4560 |
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