| |
555 Route 217 Suite 1 Latrobe PA 15650 | |
(724) 694-2723 | |
(724) 694-8830 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 555 Route 217, Latrobe, 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 |
---|---|
134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 Ph: (724) 850-6933 | 555 Route 217 Suite 1 Latrobe PA 15650 Ph: (724) 694-2723 |
NPI Number | 1548504079 |
---|---|
Provider Enumeration Date | 11/21/2012 |
Last Update Date | 10/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548504079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Oscar Reyna Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 328 Weldon St, Latrobe, PA 15650 Phone: 724-537-3381 Fax: 724-537-9198 | |
Excela Health Chestnut Ridge Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Route 217, Latrobe, PA 15650 Phone: 724-694-2723 Fax: 724-694-0383 | |
Grosso Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5927 State Route 981, Suite 8, Latrobe, PA 15650 Phone: 724-879-8739 Fax: 724-879-4292 |