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NPI Code Detail

MEDICARE: MR. GARTH E AUTEN PA-C

MEDICARE: MR. GARTH E AUTEN 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
1363AM0700XMedical Physician AssistantQA000393LPA

General Provider Information

NPI Number : 1609870203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARTH E AUTEN PA-C
Provider Business Mailing Address
First Line : 475 N WEABER ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1104
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-2418
Provider Business Practice Location Address
First Line : 475 N WEABER ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1104
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/24/2023

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Directions to “ MR. GARTH E AUTEN PA-C” Practice Location

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