Individual
MRS. AUTUMN M HULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1109 2ND ST, FAYETTE CITY, PA 15438-1033
(724) 797-3374
Mailing address
120 5TH AVE, PITTSBURGH, PA 15222-3000
(844) 438-3226
(844) 978-2756
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054618
PA
Other
Enumeration date
10/04/2010
Last updated
10/28/2024
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