Individual
AMANDA MARIE ROSSWOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
104 TECHNOLOGY DR STE 204, BUTLER, PA 16001-1801
(833) 995-0121
Mailing address
104 TECHNOLOGY DR STE 204, BUTLER, PA 16001-1801
(833) 955-0121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA0063077
PA
363A00000X
Physician Assistant
Primary
MA063077
PA
363A00000X
Physician Assistant
OA005893
PA
Other
Enumeration date
12/20/2021
Last updated
08/09/2023
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