| |
3415 Millers Run Rd, Cecil, PA 15321-1403 | |
(724) 222-5635 | |
(724) 222-5638 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 3415 Millers Run Rd, Cecil, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962745349 | NPI | - | NPPES |
875375 | Other | PA | MEDICARE PTAN |
001591849 | Other | PA | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
3415 Millers Run Rd, Cecil, PA 15321-1403 Ph: (724) 222-5635 | 3415 Millers Run Rd, Cecil, PA 15321-1403 Ph: (724) 222-5635 |