Individual
MR. BRICE RICHARD AMBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3701 CORRIERE RD STE 26, PALMER TOWNSHIP, PA 18045-7991
(484) 591-7150
(484) 591-7151
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
MA056568
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/12/2013
Last updated
11/15/2018
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