| |
9528 Lincoln Hwy Ste 1 Bedford PA 15522-3764 | |
(814) 310-5409 | |
(814) 310-5410 |
Full Name | |
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Speciality | Clinic/center |
Location | 9528 Lincoln Hwy Ste 1, Bedford, Pennsylvania |
Authorized Official Name and Position | Kendra Rae Dwire (CEO) |
Authorized Official Contact | 8144832169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9528 Lincoln Hwy Ste 1 Bedford PA 15522-3764 Ph: (814) 310-5409 | 9528 Lincoln Hwy Ste 1 Bedford PA 15522-3764 Ph: (814) 310-5409 |
NPI Number | 1023735735 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 01/29/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023735735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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