Doctor Name: | MRS. PEGGY SUE HUTTON |
NPI Number: | 1366475204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA002999-L |
Business Practice Address: | 465 State St Curwensville, PA - 168331240 |
Business Phone Number: | 8142361123 |
Business Fax Number: | 8142362172 |
Mailing Address: | 100 Hospital Ave, DU BOIS |
State: | PA |
Postal Code: | 158011440 |
Phone Number: | 8142361123 |
Fax Number: | 8142362172 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA002999-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |