Individual
MR. JAMES GARY KREPPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
772 SAINT JOSEPH ST, FCI-LORETTO, LORETTO, PA 15940-7006
(814) 471-1475
Mailing address
RR 2 BOX 162A, TYRONE, PA 16686-9708
(814) 742-9838
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-001374-L
PA
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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