Individual
COURTNEY LYNN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11279 PERRY HWY, SUITE 108, WEXFORD, PA 15090-9381
(724) 933-9190
(724) 933-9194
Mailing address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
MA054078
PA
363A00000X
Physician Assistant
Primary
MA054078
PA
Other
Enumeration date
10/16/2009
Last updated
04/27/2023
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