in Wyomissing - Physician Assistant

- NPI 1780636936

is a Physician Assistant in Wyomissing, Pennsylvania. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1780636936. The last update date is .

's current location address is 1011 Reed Ave, Wyomissing, Pennsylvania. You can contact this provider via phone number 6103744401 and fax number 6103747140. The mailing address for is 1011 Reed Ave, Wyomissing, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1011 Reed Ave, Wyomissing, Pennsylvania
Phone Number 6103744401
Fax Number 6103747140
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1780636936
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1011 Reed Ave
City Wyomissing
State Pennsylvania (PA)
Post Code 196102002
Phone Number 6103744401
Fax Number 6103747140

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA001731L
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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