Mark Alan Stoltz | |
993 Beaver Dr Du Bois PA 15801-2513 | |
(814) 771-5544 | |
Not Available |
Full Name | Mark Alan Stoltz |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 993 Beaver Dr, Du Bois, Pennsylvania |
Authorized Official Name and Position | Mark A Stoltz (OWNER) |
Authorized Official Contact | 8147715544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Alan Stoltz 1194 Treasure Lk Du Bois PA 15801-9028 Ph: (814) 771-5544 | Mark Alan Stoltz 993 Beaver Dr Du Bois PA 15801-2513 Ph: (814) 771-5544 |
NPI Number | 1659030328 |
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Provider Enumeration Date | 12/10/2021 |
Last Update Date | 12/10/2021 |
Certification Date | 12/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659030328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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