Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 5, 2008
License(s)
ma053734 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 231 NORTHERN BLVD SUITE 1 | South Abington Township, PA 18411-9189 | 570-587-7817 |
| MAILING | 675 BALTIMORE DR | Wilkes Barre, PA 18702-3310 | 570-808-7923 |
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