Individual
DIANNE G MUCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1339
(570) 271-6440
(570) 271-6002
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
37949
KY
2080P0210X
Pediatric Nephrology Physician
Primary
MD438642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425982
—
PA
05
—
200440950
—
IN
05
—
64066269
—
KY
Enumeration date
09/22/2006
Last updated
06/08/2015
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