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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Wiest
Daniel
R
003961
PA
12/23/2004
12/17/2004
1958
Canham
Timothy
P.
004006
PA
08/25/2020
08/18/2020
1961
Schwartz
Andrew
L
004046
PA
10/29/1996
Schwartz
Andrew
L
004046
PA
06/11/1998
1960
Boutros
Samir
004090
MD
04/02/2012
04/17/2012
1953
Verbeck
Samuel
S.
004138
PA
12/29/2021
12/22/2021
1957
Marshall
Augustin
Enoch
004155
PA
08/23/2007
08/17/2007
1935
Hershberger
Marion
Elizabeth
004170
PA
06/17/2019
06/17/2019
1967
Olander
Marion
Elizabeth
004170
PA
06/17/2019
06/17/2019
1967
Olander
Marion
Elizabeth
004170
PA
06/17/2003
06/06/2006
1967
Hershberger
Marion
Elizabeth
004170
PA
06/17/2003
06/11/2003
1967
Hickman
James
M
004171
PA
01/25/2002
01/27/2002
1959
Koval
Robin
J.
004175
PA
01/30/2018
01/23/2018
1966
Volo
Alicia
A
004202
PA
05/06/2014
04/29/2014
1956
Murray
Theodore
R
004208
PA
10/11/2001
10/15/2001
1948
Daniels
Frank
A
004227
PA
07/09/1999
1958
Moore
Phoebe
C
004245
PA
04/10/2014
04/03/2014
1958
Norgbey
Rufus
Prosper
004253
PA
03/22/2016
03/17/2016
1962
Norgbey
Rufus
Prosper
004253
PA
03/31/2014
03/17/2016
1962
Young
Steven
Michael
004270
PA
08/01/2017
08/25/2017
1954
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