Individual
MARY ALICE BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MPAS, PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
28 GREEN ST, DAYTON, OH 45402-2833
(937) 677-6985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006552RX
OH
Other
Enumeration date
08/12/2020
Last updated
01/05/2022
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