Marissa Virginia Blose, PA-C
NPI #1316431380 in Du Bois, Pennsylvania
Provider Information
- NPI Number
- 1316431380
- Entity Type
- Individual
- Name
- Marissa Virginia Blose, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 21, 2018
- Last Updated
- Feb 8, 2022
Practice Location
- Address
- 100 HOSPITAL AVE
- City
- Du Bois
- State
- Pennsylvania
- ZIP Code
- 15801-1440
- Phone
- (814) 371-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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