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Individual

BRETT A MEADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4387 STURBRIDGE DR STE 100, HARRISBURG, PA 17110-3673
(717) 238-3111
Mailing address
423 N 21ST ST STE 100, CAMP HILL, PA 17011-2207

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059164
PA
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103345767
PA
Enumeration date
12/30/2015
Last updated
03/25/2025
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