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7176 W Ridge Rd Fairview PA 16415-2027 | |
(814) 474-3613 | |
(814) 474-3537 |
Full Name | |
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Speciality | Family Medicine |
Location | 7176 W Ridge Rd, Fairview, Pennsylvania |
Authorized Official Name and Position | Thomas H Turner (PHYSICIAN/OWNER) |
Authorized Official Contact | 8144743613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 579 Fairview PA 16415-0579 Ph: () - | 7176 W Ridge Rd Fairview PA 16415-2027 Ph: (814) 474-3613 |
NPI Number | 1922324805 |
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Provider Enumeration Date | 04/16/2010 |
Last Update Date | 04/16/2010 |
Identifier | Type | State | Issuer |
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1922324805 | NPI | - | NPPES |
0009470700001 | Medicaid | PA | |
111382 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD025880E (Pennsylvania) | Primary |