Individual provider · Type 1 NPI

Matthew Thomas Hysore, PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1043024730 Active

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001

Call (570) 808-7399 Map

Fax (570) 808-5942

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA066333 (PA)

Medical Physician Assistant: Definition to come...

561 other providers at this address

Other medical physician assistant providers in Wilkes Barre

See all in Wilkes Barre →

About NPI 1043024730

Matthew Thomas Hysore, PA-C's National Provider Identifier is 1043024730, issued on Feb 4, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Apr 22, 2025.