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Individual

HANNAH KOONTZ SCARBORO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
3420 CHAPARRAL DR APT 231, ROANOKE, VA 24018-4937
(804) 332-2699

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006063
VA

Other

Enumeration date
02/02/2018
Last updated
02/02/2018
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