Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jun 14, 2012
License(s)
MA055541 (PA), MA055541 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 55 MONUMENT RD | York, PA 17403-5023 | 717-851-4005 |
| MAILING | 601 MEMORY LN | York, PA 17402-2231 | 717-851-1405 |
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