Individual
ANNA K BIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
647 N BROAD STREET EXT STE 106, GROVE CITY, PA 16127-4604
(724) 458-8460
Mailing address
647 N BROAD STREET EXT STE 106, GROVE CITY, PA 16127-4604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065796
PA
363A00000X
Physician Assistant
PA60560294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046819
—
WA
Enumeration date
04/03/2015
Last updated
12/05/2024
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