Individual
HEATHER E OKUN DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1208 ONEILL HWY, DUNMORE, PA 18512-1709
(570) 207-2612
(570) 207-2616
Mailing address
201 HARVARD AVE, CLARKS GREEN, PA 18411-1115
(570) 430-1779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053579
PA
363A00000X
Physician Assistant
Primary
OA002361
PA
Other
Enumeration date
04/14/2009
Last updated
08/28/2013
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