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Individual

DWAYNE L PLATT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
231 ORD STREET, SALISBURY, PA 15558-0066
(814) 662-2755
(814) 662-2001
Mailing address
231 ORD STREET, SALISBURY, PA 15558-0066
(814) 662-2755
(814) 662-2001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072282L
PA
207V00000X
Obstetrics & Gynecology Physician
MD072282L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018295800004
PA
05
0018295800013
PA
Enumeration date
08/10/2005
Last updated
06/13/2014
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