| |
200 W Main St Ligonier PA 15658-1171 | |
(724) 238-9581 | |
(724) 238-9584 |
Full Name | |
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Speciality | Family Medicine |
Location | 200 W Main St, Ligonier, Pennsylvania |
Authorized Official Name and Position | Jess N Judy (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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200 W Main St Ligonier PA 15658-1171 Ph: (724) 238-9581 | 200 W Main St Ligonier PA 15658-1171 Ph: (724) 238-9581 |
NPI Number | 1588070551 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 07/10/2014 |
Identifier | Type | State | Issuer |
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1588070551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Suzana Stepanek Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 W Church St, Ligonier, PA 15658 Phone: 724-238-5667 Fax: 888-364-8834 | |
Dpa Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 West Main Street, Ligonier, PA 15658 Phone: 724-238-4103 Fax: 724-238-4107 |