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Individual

AMANDA S PEARS HARTWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
162 HOLMES RD, MERCER, PA 16137-4604
(724) 475-3168
Mailing address
162 HOLMES RD, MERCER, PA 16137-4604
(724) 475-3168

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
34.011612
OH
208D00000X
General Practice Physician
Primary
OS012171
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011993560003
PA
Enumeration date
07/17/2006
Last updated
06/10/2015
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