Individual
MRS. CHELSEY M GOODBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 STOCK ST STE 3, HANOVER, PA 17331-2276
(717) 316-6927
Mailing address
310 STOCK ST STE 3, HANOVER, PA 17331-2276
(717) 316-6927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0004545
MD
363A00000X
Physician Assistant
MA056841
PA
363A00000X
Physician Assistant
Primary
OA003411
PA
363AM0700X
Medical Physician Assistant
MA056841
PA
Other
Enumeration date
09/07/2011
Last updated
01/02/2021
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