MRS. Channing Elizabeth Boback, PA-C

NPI #1013343805 in Wilkes Barre, Pennsylvania

Provider Information

NPI Number: 1013343805
Entity Type: Individual
Name: MRS. Channing Elizabeth Boback, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 24, 2013
Last Updated: Aug 21, 2020

Practice Location

Address: 675 BALTIMORE DR
City: Wilkes Barre
State: Pennsylvania
ZIP Code: 18702-7900
Phone: (570) 808-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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