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104 Front Street Suite Van 1 Mount Morris PA 15349-0495 | |
(888) 454-5064 | |
(724) 324-9005 |
Full Name | |
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Speciality | Nurse Practitioner - Family |
Location | 104 Front Street, Mount Morris, Pennsylvania |
Authorized Official Name and Position | Robert Mt. Joy (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7243249001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 495 Mount Morris PA 15349-0495 Ph: (724) 324-9001 | 104 Front Street Suite Van 1 Mount Morris PA 15349-0495 Ph: (888) 454-5064 |
NPI Number | 1649412941 |
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Provider Enumeration Date | 04/01/2009 |
Last Update Date | 04/23/2010 |
Identifier | Type | State | Issuer |
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1649412941 | NPI | - | NPPES |