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Individual

ELIZABETH R MELCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055510
PA
363AM0700X
Medical Physician Assistant
MA055510
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103145514
PA
Enumeration date
08/09/2012
Last updated
06/28/2022
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