Laura Derk Hart, PA-C

NPI #1235192832 in Salem, Virginia

Provider Information

NPI Number: 1235192832
Entity Type: Individual
Name: Laura Derk Hart, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 7, 2006
Last Updated: Jan 19, 2012

Practice Location

Address: 1970 BOULEVARD
City: Salem
State: Virginia
ZIP Code: 24153-6404
Phone: (540) 982-2463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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