Individual
HANNAH SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1000
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DEPT OF SURGERY 21-69, DANVILLE, PA 17822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003674
CT
363A00000X
Physician Assistant
MA059629
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
06/24/2024
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