Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Aug 11, 2022
License(s)
MA063843 (PA), MA063843 (PA), MA063843 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2315 MYRTLE ST | Erie, PA 16502-4602 | 814-452-7300 |
| MAILING | 2315 MYRTLE ST STE 290 | Erie, PA 16502-4609 | 814-452-7300 |
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