Thomas R. Wickham, PA-C
Physician Assistant in Danville, PA. Individual provider (NPI-1).
NPI number1154372803
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1154372803
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas R. Wickham
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA001704L | PA | Yes |
Practice location
100 N Academy AveDanville, PA 17822-1335
Phone 570-271-6516 · Fax 570-271-5814
Mailing address
100 N Academy AveDanville, PA 17822-3034
Phone 570-271-6144 · Fax 570-271-6578
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All 248 Physician Assistant providers in Danville · All 3,282 providers in Danville
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