Diana Dawn Dutra, DO | |
210 Medical Center Dr, Philipsburg, PA 16866-5500 | |
(814) 342-5402 | |
(814) 342-0598 |
Full Name | Diana Dawn Dutra |
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Gender | Female |
Speciality | Pediatrics |
Location | 210 Medical Center Dr, Philipsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477793750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS016007 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Punxsutawney Area Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265449870 PECOS PAC ID: 3375517147 Enrollment ID: O20040830000460 |
Entity Name | Indiana Healthcare Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
Mailing Address | Practice Location Address |
---|---|
Diana Dawn Dutra, DO 100 North Academy Ave, Danville, PA 17822-4903 Ph: (570) 214-5681 | Diana Dawn Dutra, DO 210 Medical Center Dr, Philipsburg, PA 16866-5500 Ph: (814) 342-5402 |
Jennifer L Graham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Medical Center Dr., Philipsburg, PA 16866 Phone: 814-342-5402 Fax: 814-342-0598 | |
Dr. Satish M. Sawardekar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Center Dr, Philipsburg, PA 16866 Phone: 814-342-5402 Fax: 814-342-0598 |