Individual
EMILY BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 9TH AVE, ALTOONA, PA 16602-2415
(814) 941-8811
Mailing address
1214 GRANT AVE, ALTOONA, PA 16602-4732
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063648
PA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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