Individual
BETHANY M PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7500 BROOKTREE RD, SUITE 302, WEXFORD, PA 15090-9254
(412) 367-0600
(412) 367-7079
Mailing address
7500 BROOKTREE RD, SUITE 302, WEXFORD, PA 15090-9254
(412) 367-0600
(412) 367-7079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053159
PA
363AS0400X
Surgical Physician Assistant
Primary
MA053159
PA
Other
Enumeration date
11/07/2007
Last updated
11/25/2015
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