Individual
DUSTIN D HENEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1005 CAMPUS CIR, HERMITAGE, PA 16148-7901
(724) 346-2677
(724) 346-2825
Mailing address
1005 CAMPUS CIR, HERMITAGE, PA 16148-7901
(724) 346-2677
(724) 346-2825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054170
PA
Other
Enumeration date
12/02/2009
Last updated
03/26/2025
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