Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Dec 21, 2005
License(s)
1035474 ()
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 353 N DUFFY RD | Butler, PA 16001-1138 | 878-271-6035 |
| MAILING | 353 NORTH DFFY ROAD | Butler, PA 16001 | 878-271-6035 |
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