Individual
OLIVIA R KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 TRICH DR STE 2, WASHINGTON, PA 15301-5990
(724) 225-8657
Mailing address
100 TRICH DR STE 2, WASHINGTON, PA 15301-5990
(724) 225-8657
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA064234
PA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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