Individual
MS. DEBORAH K MENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
88 OSBORNE ST, JOHNSTOWN, PA 15905-4146
(814) 474-6454
(814) 509-6332
Mailing address
88 OSBORNE ST, JOHNSTOWN, PA 15905-4146
(814) 474-6454
(814) 509-6332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS009404
PA
207RN0300X
Nephrology Physician
Primary
OS009404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01607232
—
PA
Enumeration date
04/13/2006
Last updated
07/21/2022
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