Individual
MS. MORGAN DIANE MIKSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
100 HOSPITAL AVE., DUBOIS, PA 15801-1440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA058970
PA
363AM0700X
Medical Physician Assistant
Primary
OA004102
PA
Other
Enumeration date
06/23/2017
Last updated
08/11/2017
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