Provider Demographics
NPI:1972101061
Name:DRUCKENMILLER, STEPHEN (PA-C)
Entity Type:Individual
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First Name:STEPHEN
Middle Name:
Last Name:DRUCKENMILLER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:77 S COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8891
Mailing Address - Country:US
Mailing Address - Phone:484-526-3571
Mailing Address - Fax:833-213-6428
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:484-526-4500
Practice Address - Fax:484-526-6674
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant