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Individual

GEOFFREY A. MCEWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1335 BELMONT AVE, YOUNGSTOWN, OH 44504-1135
(330) 965-4541
(330) 965-4559
Mailing address
1335 BELMONT AVE, YOUNGSTOWN, OH 44504-1135
(330) 965-4541

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051408
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001941909
HIGHMARK BC/BS
PA
Enumeration date
03/05/2007
Last updated
10/27/2014
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