Most Relevant Information
Provider Data
NPI Number: | 1003467572 |
Provider Name: | JEREMY PHILLIP HOPERSBERGER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | MA061119 |
Most Important Dates
Enumeration Date: | 09/25/2019 |
Last Updated: | 10/19/2020 |
Provider Practice Location
429 N 21ST ST
CAMP HILL
PA
170112202
Practice Location Phone/Fax
Phone: | 7179018000 |
Fax: | 7177616860 |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
Phone: | 5702716144 |
Fax: | 5702716578 |