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Pennsylvania Department of State
>
Professional Licensing
>
Boards & Commissions
>
Osteopathic Medicine
>
Physician Assistant (PAC)
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PHYSICIAN ASSISTANT (PAC) SUPERVISING PHYSICIAN APPLICATIONS
Application for Registration as a Supervising Physician (PDF)
Physician Assistant Supervisor Written Agreement Change Form (PDF)
Contact
State Board of Osteopathic Medicine
P.O. Box 2649, Harrisburg, PA 17105-2649
Phone - (717)
783-4858
Fax - (717)
787-7769
ST-OSTEOPATHIC@PA.GOV