Individual
DANIEL J CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 988-8135
(717) 221-5600
Mailing address
1830 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 988-8135
(717) 221-5600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA054295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054295
MEDICAL LICENSE
PA
Enumeration date
04/01/2010
Last updated
08/04/2025
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