Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jul 15, 2024
License(s)
MA065751 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2605 NICHOLSON RD STE 1210 | Sewickley, PA 15143-8896 | 724-759-7777 |
| LOCATION | 2605 NICHOLSON RD STE 1210 | Sewickley, PA 15143-8896 | 724-759-7777 |
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