| |
229 N Main St, Punxsutawney, PA 15767-1217 | |
(814) 938-2234 | |
(814) 938-3630 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 229 N Main St, Punxsutawney, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588851711 | NPI | - | NPPES |
364643 | Other | PA | HIGHMARK BLUE CROSS/BLUE |
14722-6926 | Other | PA | GEISINGER / MEDICAID |
000000090188 | Other | PA | UNISON THREE RIVERS MEDPL |
0011362640005 | Medicaid | PA | |
1035572 | Other | PA | GATEWAY / MEDICAID |
201856 | Other | PA | UPMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | SC003260L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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229 N Main St, Punxsutawney, PA 15767-1217 Ph: (814) 938-2234 | 229 N Main St, Punxsutawney, PA 15767-1217 Ph: (814) 938-2234 |