Endless Mountain Medical Clinic | |
Main Street Clifford PA 18413-0120 | |
(570) 222-5200 | |
(570) 222-5201 |
Full Name | Endless Mountain Medical Clinic |
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Speciality | Internal Medicine |
Location | Main Street, Clifford, Pennsylvania |
Authorized Official Name and Position | Mary Theresa Vautrinot (PRESIDENT) |
Authorized Official Contact | 5702811001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Endless Mountain Medical Clinic Po Box 517 Carbondale PA 18407-0517 Ph: (570) 281-1315 | Endless Mountain Medical Clinic Main Street Clifford PA 18413-0120 Ph: (570) 222-5200 |
NPI Number | 1396940300 |
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Provider Enumeration Date | 06/19/2007 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
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1396940300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS008778L (Pennsylvania) | Primary |