Individual
BRENDA EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MEDICAL ARTS BLDG, SUITE 170, KITTANNING, PA 16201-7135
(724) 543-2283
Mailing address
2346 STATE ROUTE 268, CHICORA, PA 16025-4612
(724) 445-2486
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002198L
PA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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