Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 29, 2014
License(s)
OA003618 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 75 E DERRY RD | Hershey, PA 17033-2705 | 717-835-0700 |
| MAILING | 7 DOCK HILL RD | Middleburg, PA 17842-8910 | 570-837-2123 |
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