Provider Demographics
NPI:1679619357
Name:WILLAMAN, DOUGLAS ALAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ALAN
Last Name:WILLAMAN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:117 STONEY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7915
Mailing Address - Country:US
Mailing Address - Phone:724-766-1619
Mailing Address - Fax:724-772-0237
Practice Address - Street 1:3104 UNIONVILLE RD
Practice Address - Street 2:100 CRANBERRY BUSINESS PARK, SUITE 180
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-3415
Practice Address - Country:US
Practice Address - Phone:724-772-2664
Practice Address - Fax:724-772-0237
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMA002258L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical