Diane Carol Mcavoy PA-C

NPI 1083609002 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083609002
Gender Female
Enumeration Date 09/15/2005
Last Updated 04/27/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
150 MUNDY ST
WILKES BARRE PA, 18702-6830, US
Phone (570) 824-0930
Fax (570) 824-7755
Business Location
150 MUNDY ST
WILKES BARRE PA, 18702-6830, US
Phone (570) 824-0930
Fax (570) 824-7755
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA-001866L
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According to our database, Diane Carol Mcavoy PA-C NPI is 1083609002, taxonomy code is 363AM0700X and license number is MA-001866L, license state is located at Pennsylvania. Diane Carol Mcavoy PA-C physically located at 150 Mundy St, Wilkes Barre PA, 18702-6830. NPI Number Diane Carol Mcavoy PA-C has the Individual type.

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1083609002 NPI number is provided on an as is basis without warranty of any kind. 1083609002 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Carol Mcavoy PA-C are for informational purposes only.