Individual
DANIEL RYAN FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1824 E 3RD ST, WILLIAMSPORT, PA 17701-3914
(570) 601-2200
(570) 601-2202
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03259
TX
Other
Enumeration date
08/12/2006
Last updated
08/31/2020
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