Individual
DEVON M BIZARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-2131
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004682
PA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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