Individual
MARY ELIZABETH REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 W COLLEGE AVE, PLEASANT GAP, PA 16823-7401
(814) 359-5620
(814) 359-5629
Mailing address
PO BOX 251, BOALSBURG, PA 16827-0251
(814) 235-3051
(814) 359-5629
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000413L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50055176
CAPITAL BLUE CROSS
PA
Enumeration date
04/13/2006
Last updated
07/15/2013
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