Alexis Rose Vavala

NPI #1003416165 in Warren, Pennsylvania

Provider Information

NPI Number: 1003416165
Entity Type: Individual
Name: Alexis Rose Vavala
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 28, 2020
Last Updated: Oct 24, 2022

Practice Location

Address: 1885 MARKET ST
City: Warren
State: Pennsylvania
ZIP Code: 16365-1277
Phone: (814) 723-1832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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