Unknown Individual – Physician Assistant, NPI 1023224847
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7133, Nittany Valley Drive, Clintondale, Lamar, Clinton County, Pennsylvania, 17751, United States
MILL HALL, PA 177519013
Phone: (570) 726-7992
Fax: (570) 726-6554
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17751)
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