Desni L Dantone, PA-C
Physician Assistant, Medical in Bedford, PA. Individual provider (NPI-1).
NPI number1861494635
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1861494635
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Desni L Dantone
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2005
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA051755 | PA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA-321 | AR |
Practice location
104 Railroad StBedford, PA 15522-1013
Phone 814-263-5804
Mailing address
Po Box 706Hyndman, PA 15545-0706
Phone 814-842-3206
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