Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jul 10, 2008
License(s)
MA053447 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 447 100 HOSPITAL AVE. | Du Bois, PA 15801-0447 | 814-375-3800 |
| LOCATION | 100 HOSPITAL AVE | Du Bois, PA 15801-1440 | 814-375-3800 |
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