Individual
PATRICIA DEALTERIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1415 FLAXMILL RD, HUNTINGTON, IN 46750-8806
(260) 359-1250
Mailing address
1415 FLAXMILL RD, HUNTINGTON, IN 46750-8806
(260) 359-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000625A
IN
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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