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Individual

MICHAEL W SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2004 SPROUL RD, BROOMALL, PA 19008-3511
(610) 353-0800
(610) 353-9480
Mailing address
2004 SPROUL RD, BROOMALL, PA 19008-3511
(610) 353-0800
(610) 353-9480

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA059159
PA

Other

Enumeration date
07/25/2017
Last updated
07/25/2017
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