Dr Stanley Herbert Kotala, | |
365 Ward Drive, Claysburg, PA 16625-9742 | |
(814) 239-2211 | |
(814) 239-8116 |
Full Name | Dr Stanley Herbert Kotala |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 365 Ward Drive, Claysburg, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215971718 | NPI | - | NPPES |
076155 | Other | PA | BLUE SHIELD |
01271189 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD044888L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley Herbert Kotala, 365 Ward Drive, Po Box 267, Claysburg, PA 16625-9742 Ph: (814) 239-2211 | Dr Stanley Herbert Kotala, 365 Ward Drive, Claysburg, PA 16625-9742 Ph: (814) 239-2211 |
Dr. Donald W Bulger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 365 Ward Drive, Claysburg, PA 16625 Phone: 814-239-2211 Fax: 814-239-8116 | |
Dr. Alice M Laskaris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 365 Ward Drive, Claysburg, PA 16625 Phone: 814-239-2211 Fax: 814-239-8116 |