Individual
JONATHAN DANIEL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
804 GRANDVIEW DR STE 2, EPHRATA, PA 17522-1681
(717) 466-2500
(717) 733-7865
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 738-5632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060946
PA
363AM0700X
Medical Physician Assistant
MA060946
PA
Other
Enumeration date
09/06/2019
Last updated
04/29/2021
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