Jacki Renee Depanfilis, PA-C
NPI #1245583665 in Ridgway, Pennsylvania
Provider Information
- NPI Number
- 1245583665
- Entity Type
- Individual
- Name
- Jacki Renee Depanfilis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 23, 2012
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 104 METOXET ST
- Address 2
- SUITE A
- City
- Ridgway
- State
- Pennsylvania
- ZIP Code
- 15853-1932
- Phone
- (814) 772-8122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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