Individual
TAYLOR MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
841 HOSPITAL RD STE 2300, INDIANA, PA 15701-3699
(724) 349-7820
(724) 349-8816
Mailing address
841 HOSPITAL RD STE 2300, INDIANA, PA 15701-3699
(724) 349-7820
(724) 349-8816
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
060933
PA
Other
Enumeration date
09/24/2019
Last updated
11/02/2022
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