Diane Petrovich, PA-C

NPI #1386723534 in Nuremberg, Pennsylvania

Provider Information

NPI Number: 1386723534
Entity Type: Individual
Name: Diane Petrovich, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 75 PINEAPPLE STREET
Address 2: BLACK CREEK HEALTH CENTER
City: Nuremberg
State: Pennsylvania
ZIP Code: 18241-0670
Phone: (570) 384-3201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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