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1060 Lloyd St Nanty Glo PA 15943-1232 | |
(814) 749-8624 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1060 Lloyd St, Nanty Glo, Pennsylvania |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1060 Lloyd St Nanty Glo PA 15943-1232 Ph: (814) 749-8624 | 1060 Lloyd St Nanty Glo PA 15943-1232 Ph: (814) 749-8624 |
NPI Number | 1003222134 |
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Provider Enumeration Date | 07/09/2014 |
Last Update Date | 02/07/2023 |
Identifier | Type | State | Issuer |
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1003222134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |