RUSSELL JOHN ENEDY

JOHNSTOWN, PA
NPI1770819096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA053940)
Enumeration Date2009-10-21
Last Update Date2014-10-17
Business Address
RUSSELL JOHN ENEDY PA-C
1111 FRANKLIN ST SUITE 410
JOHNSTOWN, PA 15905-4330
Phone number: 814-536-7851
Mailing Address
RUSSELL JOHN ENEDY PA-C
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-410-8300
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