Devon M Bizarre, PA-C

NPI #1396212767 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1396212767
Entity Type: Individual
Name: Devon M Bizarre, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 360 W RUDDLE ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1027
Phone: (570) 645-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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