| Eh Sports Med/concussion Mgmt | |
|
410 Pellis Rd Suite 2a Greensburg PA 15601-4700 | |
| (724) 689-1070 | |
| (724) 689-1063 |
| Full Name | Eh Sports Med/concussion Mgmt |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 410 Pellis Rd, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Renee M Varney (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7248506933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eh Sports Med/concussion Mgmt 134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 Ph: (724) 850-6933 | Eh Sports Med/concussion Mgmt 410 Pellis Rd Suite 2a Greensburg PA 15601-4700 Ph: (724) 689-1070 |
| NPI Number | 1710142302 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710142302 | NPI | - | NPPES |
| 0015621860077 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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