Individual
MRS. DANA L UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 988-0000
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057800
PA
363AM0700X
Medical Physician Assistant
MA057800
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103173152
—
PA
Enumeration date
09/16/2015
Last updated
01/09/2021
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