Individual
DR. JONATHAN DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5000
Mailing address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OT017618
PA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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