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1 Nolte Dr Kittanning PA 16201-7111 | |
(724) 543-8164 | |
(724) 543-8616 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1 Nolte Dr, Kittanning, Pennsylvania |
Authorized Official Name and Position | Patrick Burns (VICE PRESIDENT OF FINANCE CFO) |
Authorized Official Contact | 7245438168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 579 Kittanning PA 16201-0579 Ph: (724) 543-8164 | 1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8164 |
NPI Number | 1235344177 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 10/03/2007 |
Identifier | Type | State | Issuer |
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1235344177 | NPI | - | NPPES |
000000072303 | Other | PA | UNISON |
1350402 | Other | PA | BLUE CROSS GROUP |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 270901 (Pennsylvania) | Primary |
Richard A. Mercurio Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Westgate Drive, Suite 101a, Kittanning, PA 16201 Phone: 724-543-1735 | |
Frederick B Doerfler Jr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 S Jefferson St, Kittanning, PA 16201 Phone: 724-545-1288 Fax: 724-545-7615 | |