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AMY M CLEVENGER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194107045

Individual Registrant:
 AMY M CLEVENGER PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4186 CORTLAND DR BOX 367 NEW PARIS, PA 15554-7706 US
Tel: 814-839-4108  Fax: 814-839-4845

Contact information for business:
1086 FRANKLIN ST  JOHNSTOWN, PA 15905-4305 US
Tel: 814-410-8300  Fax: 814-410-8331

Registration Information:
NPI: 1194107045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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