Individual
AMY DAWN CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2314 SASSAFRAS ST, SUITE 200, ERIE, PA 16502-2722
(814) 454-4484
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD435736
PA
Other
Enumeration date
10/12/2007
Last updated
10/29/2008
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