Tara Louise Edmiston, PA

NPI #1396945374 in Olean, New York

Provider Information

NPI Number: 1396945374
Entity Type: Individual
Name: Tara Louise Edmiston, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 515 MAIN ST
City: Olean
State: New York
ZIP Code: 14760-1513
Phone: (716) 817-2938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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