Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Mar 14, 2006
License(s)
MD049769L (PA), MD049769L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9 STEARNS LN | Danville, PA 17821-8850 | 570-271-6784 |
| MAILING | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 570-271-6144 |
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