Doctor Name: | MRS. MORGAN JOY DWYER |
NPI Number: | 1063611135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA053458 |
Business Practice Address: | 1 Guthrie Sq Sayre, PA - 188401625 |
Business Phone Number: | 5708885858 |
Business Fax Number: | 5708823007 |
Mailing Address: | 29 N Chemung St, WAVERLY |
State: | NY |
Postal Code: | 148921211 |
Phone Number: | 6075659975 |
Fax Number: | 6075652683 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA053458 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |