Individual
BENJAMIN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PARK WAY, SENECA, PA 16346
(814) 676-5444
(814) 676-0342
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA004080
PHYSICIAN ASSISTANT LICENSE
PA
Enumeration date
03/15/2017
Last updated
08/06/2025
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