| |
12620 Perry Hwy Wexford PA 15090-8662 | |
(412) 913-1840 | |
(724) 933-4301 |
Full Name | |
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Speciality | Internal Medicine |
Location | 12620 Perry Hwy, Wexford, Pennsylvania |
Authorized Official Name and Position | Betty Sue Rich (CEO) |
Authorized Official Contact | 7249334320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12620 Perry Hwy Wexford PA 15090-8662 Ph: (412) 913-1840 | 12620 Perry Hwy Wexford PA 15090-8662 Ph: (412) 913-1840 |
NPI Number | 1609209022 |
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Provider Enumeration Date | 08/21/2013 |
Last Update Date | 05/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609209022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD047727L (Pennsylvania) | Primary |
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