Individual provider · Type 1 NPI
Devon Woolfolk, PA-C
Medical Physician Assistant · Mountain Top, PA
NPI number
1366811416
Active
Practice location
239 S Mountain Blvd, Suite 100
Mountain Top, PA 18707-1911
Fax (570) 474-0962
Mailing address
610 Wyoming Ave
Kingston, PA 18704-3702
Other practice locations
- 276 W Side Mall, Edwardsville, PA 18704-3117 · (570) 283-0791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA057824 (PA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1366811416
Devon Woolfolk, PA-C's National Provider Identifier is 1366811416, issued on Sep 18, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mountain Top, PA. The record was last updated on May 23, 2024.