Leroy Karl Rung, PAC Valid NPI

Individual provider · Physician Assistant · Camp Hill, PA

NPI

1104874114

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MA001806L (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-04

Last updated

2020-08-10