Individual
JAN MICHELLE DARTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1499 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4008
(330) 758-0577
(330) 533-4587
Mailing address
6470 TIPPECANOE RD, CANFIELD, OH 44406-7036
(330) 758-0577
(330) 758-0466
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.003658
OH
363AM0700X
Medical Physician Assistant
MA055065
PA
363AS0400X
Surgical Physician Assistant
Primary
50.003658
OH
363AS0400X
Surgical Physician Assistant
MA055065
PA
Other
Enumeration date
08/09/2011
Last updated
07/08/2016
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