Individual
CONDA JOSEPH WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
655 E DUBOIS AVE, DU BOIS, PA 15801-3605
(814) 371-6164
Mailing address
541 CALVARY LN, PUNXSUTAWNEY, PA 15767-7937
(814) 243-0521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057768
PA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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