Individual
RACHEL MARIE PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-8289
Mailing address
151 HEATHER DR, BUTLER, PA 16001-2819
(724) 991-9714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
50.006637
OH
363AS0400X
Surgical Physician Assistant
Primary
MA063290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417199
—
OH
Enumeration date
09/14/2020
Last updated
02/13/2023
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