person
Crystal Loose
Surgical Physician Assistant in Williamsport, Pennsylvania
NPI 1821406547

Crystal Loose is a Surgical Physician Assistant based in Williamsport, PA and is specialized in Surgical. Crystal Loose practices in Williamsport, PA. The NPI Number for Crystal Loose is 1821406547 and holds a License No. MA056962 (Pennsylvania).

The current practice location address for Crystal Loose is 1705 Warren Ave, Williamsport, PA and can be reached out via phone at 570-321-2020.

Location: 1705 Warren Ave, Williamsport, PA, 17701-1900
person
Provider Profile Details
NPI Number
1821406547
Provider Name
Crystal Loose
Credential
Provider Entity Type
Individual
Gender
Female
Address
1705 Warren Ave, Williamsport, PA, 17701-1900
Phone Number
570-321-2020
Fax Number
Provider Enumeration Date
07/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1705 Warren Ave
City
State
Zip
17701-2647
Phone Number
570-321-2020
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Warren Ave
City
State
Zip
17701-2647
Phone Number
570-321-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA056962 (Pennsylvania)
Definition
Definition to come...
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