| Danville Family Practice | |
|
1410 Bloom Rd Danville PA 17821-8501 | |
| (570) 275-3789 | |
| Not Available |
| Full Name | Danville Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1410 Bloom Rd, Danville, Pennsylvania |
| Authorized Official Name and Position | Timothy B. Eckel (OWNER) |
| Authorized Official Contact | 5702753789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Family Practice 1410 Bloom Rd Danville PA 17821-8501 Ph: (570) 275-3789 | Danville Family Practice 1410 Bloom Rd Danville PA 17821-8501 Ph: (570) 275-3789 |
| NPI Number | 1780808519 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780808519 | NPI | - | NPPES |
| 1928457 | Other | PA | HIGHMARK PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD019417E (Pennsylvania) | Primary |
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