Individual
JACOB MOSES DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
815 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 724-0720
Mailing address
1122 SYNER RD, ANNVILLE, PA 17003-9136
(717) 503-9329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060722
PA
Other
Enumeration date
06/12/2019
Last updated
07/23/2021
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