Individual
JEFFREY CUNDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 WARREN AVE, SUITE 101103, WILLIAMSPORT, PA 17701-2647
(570) 321-2020
Mailing address
1201 GRAMPIAN BLVD, SUITE 101103, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002396L
PA
Other
Enumeration date
10/26/2006
Last updated
05/24/2021
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