Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 1, 2018
License(s)
125.073520 (IL), 35.148068 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 570-271-6144 |
| LOCATION | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 570-271-6301 |
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