Individual
JOHN MARK GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-8144
(717) 544-8140
Mailing address
4000 GYPSY LN, UNIT 733, PHILADELPHIA, PA 19129-5460
(570) 510-1383
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057609
PA
363AM0700X
Medical Physician Assistant
OA002950
PA
Other
Enumeration date
10/25/2012
Last updated
10/05/2016
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