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104 Metoxet St Ridgway PA 15853-1932 | |
(814) 788-5456 | |
(814) 772-7278 |
Full Name | |
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Speciality | Family Medicine |
Location | 104 Metoxet St, Ridgway, Pennsylvania |
Authorized Official Name and Position | Rita V Olszewski (VICE PRESIDENT, ERPG) |
Authorized Official Contact | 8147888580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 788-5456 | 104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 788-5456 |
NPI Number | 1356338743 |
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Provider Enumeration Date | 09/30/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356338743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fernan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S. Mill St., Ridgway, PA 15853 Phone: 814-772-0722 Fax: 814-772-6934 |