Individual
GRACE SHEPHERD DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2199
(814) 723-3300
Mailing address
676 CLYMER SHERMAN RD, CLYMER, NY 14724-9758
(716) 499-5167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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