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Individual

JEREMY P. GORSUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
154 HOSPITAL DR, TYRONE, PA 16686-1829
(814) 684-6341
(814) 684-6343
Mailing address
154 HOSPITAL DR, TYRONE, PA 16686-1829
(814) 684-6341
(814) 684-6343

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA

Other

Enumeration date
12/22/2011
Last updated
08/03/2024
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