Amanda Wirt

NPI #1760964563 in Dover, Delaware

Provider Information

NPI Number: 1760964563
Entity Type: Individual
Name: Amanda Wirt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 29, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 640 S STATE ST
City: Dover
State: Delaware
ZIP Code: 19901-3530
Phone: (302) 674-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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