Individual
EVAN TREMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
904 HUDSON ST, MAYFIELD, PA 18433-2039
(570) 903-1349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA006896
PA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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