Individual
ALISA BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1142 NATIONAL PIKE, HOPWOOD, PA 15445-2250
(724) 437-2147
Mailing address
105 CORNERSTONE CT, VENETIA, PA 15367-2325
(724) 777-1729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055656
PA
Other
Enumeration date
09/13/2012
Last updated
08/09/2016
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