Doctor Name: | REBECCA CLONINGER |
NPI Number: | 1033525068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA056930 |
Business Practice Address: | 423 N 21st Street Suite 300 American Office Center Camp Hill, PA - 17011 |
Business Phone Number: | 7177632559 |
Business Fax Number: | 7177246125 |
Mailing Address: | 100 North Academy Ave, DANVILLE |
State: | PA |
Postal Code: | 178224903 |
Phone Number: | 5702716144 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA056930 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |