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Individual

MICHAEL W RAVOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
236 JAMESWAY RD, EBENSBURG, PA 15931-4207
(814) 472-7336
(814) 472-7485
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000863L
PA

Other

Enumeration date
04/13/2010
Last updated
04/14/2010
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