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Individual

MR. WILLIAM JAMES MAZZOCCO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
TYRONE HOSPITAL, ONE HOSPITAL DRIVE, TYRONE, PA 16686
(814) 684-6374
(814) 684-6320
Mailing address
RR 2 BOX 73, HOLLIDAYSBURG, PA 16648-9718
(814) 696-8383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
540
AK
363AM0700X
Medical Physician Assistant
Primary
MA000991L
PA

Other

Enumeration date
02/21/2006
Last updated
03/07/2023
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