MEDICARE: SAMANTHA DEBONE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	OA003095	PA
2	363A00000X	Physician Assistant	MA056267	PA

General Provider Information

NPI Number	:	1356576987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA DEBONE PA-C

Provider Business Mailing Address
First Line	:	222 E MCMURRAY RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2948
Country	:	US
Telephone Number	:	724-969-2500
Fax Number	:	724-426-7718

Provider Business Practice Location Address
First Line	:	222 E MCMURRAY RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2948
Country	:	US
Telephone Number	:	724-969-2500
Fax Number	:	724-426-7718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	08/16/2024

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Directions to “ SAMANTHA DEBONE PA-C” Practice Location

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