Brockway Family Practice Llc | |
1100 Main St Brockway PA 15824-0219 | |
(814) 268-3645 | |
(814) 265-1795 |
Full Name | Brockway Family Practice Llc |
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Speciality | Family Medicine |
Location | 1100 Main St, Brockway, Pennsylvania |
Authorized Official Name and Position | James E Devlin (PROVIDER) |
Authorized Official Contact | 8142683645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brockway Family Practice Llc 1100 Main St Brockway PA 15824-0219 Ph: (814) 268-3645 | Brockway Family Practice Llc 1100 Main St Brockway PA 15824-0219 Ph: (814) 268-3645 |
NPI Number | 1467031773 |
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Provider Enumeration Date | 04/05/2021 |
Last Update Date | 04/05/2021 |
Identifier | Type | State | Issuer |
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1467031773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Penn Highlands Family Medicine - Scott Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Wood St, Brockway, PA 15824 Phone: 814-265-8636 Fax: 814-265-8536 | |
James Edward Devlin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Brockway, PA 15824 Phone: 814-268-3645 Fax: 814-265-1795 |