Individual
MR. ALEXANDER V. MEZENTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
255 ROUTE 220 HWY, MUNCY, PA 17756-7568
(800) 230-4565
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054663
PA
Other
Enumeration date
01/05/2011
Last updated
03/28/2025
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