Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 30, 2024
License(s)
OT023600 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5515 PEACH ST | Erie, PA 16509-2695 | 814-864-4031 |
| MAILING | 5515 PEACH ST | Erie, PA 16509-2695 | 814-528-2435 |
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