Individual
HEATHER M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
83 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-3310
(814) 938-6804
Mailing address
9021 ROUTE 210 HWY, SMICKSBURG, PA 16256-1925
(724) 286-9740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-051107
PA
Other
Enumeration date
09/27/2006
Last updated
11/16/2023
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