Individual
ELIZABETH M BAUER DE MUENZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 W MAIN ST, VALLEY VIEW, PA 17983-9423
(570) 682-8026
(570) 682-8043
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002898
PA
363AM0700X
Medical Physician Assistant
MA055654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247049F6K
MEDICARE PTAN
PA
Enumeration date
07/31/2012
Last updated
09/24/2012
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