Individual provider · Type 1 NPI
Peter Keith Townsend Jr., PA-C
Medical Physician Assistant · Lake Winola, PA
NPI number
1144654088
Active
Practice location
Route 307
Lake Winola, PA 18625-0489
Fax (570) 378-3418
Mailing address
PO Box 489
Lake Winola, PA 18625-0489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA-001763-L (PA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1144654088
Peter Keith Townsend Jr., PA-C's National Provider Identifier is 1144654088, issued on Aug 28, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Winola, PA. The record was last updated on Aug 28, 2013.