Colleen Daugherty PA-C

NPI 1588957807 - Physician Assistant - 363AS0400X

NPI Details
NPI 1588957807
Gender Female
Enumeration Date 05/19/2011
Last Updated 10/13/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
255 W LANCASTER AVE
SUITE 333 MOB III
PAOLI PA, 19301-1763, US
Phone (610) 560-8940
Fax (610) 560-8969
Business Location
255 W LANCASTER AVE
SUITE 333 MOB III
PAOLI PA, 19301-1763, US
Phone (610) 560-8940
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Pennsylvania
License Number MX009772
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According to our database, Colleen Daugherty PA-C NPI is 1588957807, taxonomy code is 363AS0400X and license number is MX009772, license state is located at Pennsylvania. Colleen Daugherty PA-C physically located at 255 W Lancaster Ave, Paoli PA, 19301-1763. NPI Number Colleen Daugherty PA-C has the Individual type.

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1588957807 NPI number is provided on an as is basis without warranty of any kind. 1588957807 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Daugherty PA-C are for informational purposes only.