Individual
BRANDON LEE CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-0100
(570) 398-4412
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063279
PA
363AM0700X
Medical Physician Assistant
MA063279
PA
Other
Enumeration date
01/13/2022
Last updated
04/18/2022
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