| |
1 Nolte Dr Kittanning PA 16201-7111 | |
(724) 543-8500 | |
(724) 543-8616 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1 Nolte Dr, Kittanning, Pennsylvania |
Authorized Official Name and Position | Matthew Kociola (CFO) |
Authorized Official Contact | 7245438500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8500 | 1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8500 |
NPI Number | 1073111761 |
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Provider Enumeration Date | 10/14/2020 |
Last Update Date | 08/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073111761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |