Individual
MRS. DULCIE ANN HANZELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 299-7520
(814) 375-7798
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054107
PA
363A00000X
Physician Assistant
Primary
OA003947
PA
363A00000X
Physician Assistant
TMA052166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103196710
—
PA
Enumeration date
09/11/2009
Last updated
07/05/2021
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