Individual
MS. MOLLY A SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
16792 CONNEAUT LAKE ROAD, ONCOLOGY WELLNESS INSTITUTE, MMC, MEADVILLE, PA 16335-2850
(814) 373-2335
(814) 373-2338
Mailing address
612 WILLIAMSON RD, MEADVILLE, PA 16335-2850
(814) 807-1155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011706
NY
363AM0700X
Medical Physician Assistant
011706
NY
363AM0700X
Medical Physician Assistant
Primary
MA052541
PA
363AS0400X
Surgical Physician Assistant
011706
NY
Other
Enumeration date
05/22/2006
Last updated
10/14/2016
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