Individual
IAN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 MONUMENT RD # 1100, YORK, PA 17403-5024
(717) 851-6454
(717) 851-1665
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-6454
(717) 851-1665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061784
PA
363AM0700X
Medical Physician Assistant
MG6281670
PA
Other
Enumeration date
06/29/2020
Last updated
03/06/2023
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