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Individual

PENELOPE DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2910 STATE ST, ERIE, PA 16508-1832
(814) 454-5686
(814) 454-8946
Mailing address
2185 WEST 8TH ST, ERIE, PA 16505-1049
(814) 464-8311
(814) 464-8462

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD052279L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001621053
PA
Enumeration date
11/03/2006
Last updated
09/11/2017
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