| |
111b Roberts Rd Grindstone PA 15442-1105 | |
(724) 785-2286 | |
(724) 785-3187 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 111b Roberts Rd, Grindstone, Pennsylvania |
Authorized Official Name and Position | Mark Ehalt (SR.DIRECTOR) |
Authorized Official Contact | 4126470943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
111b Roberts Rd Grindstone PA 15442-1105 Ph: () - | 111b Roberts Rd Grindstone PA 15442-1105 Ph: (724) 785-2286 |
NPI Number | 1710389994 |
---|---|
Provider Enumeration Date | 09/19/2014 |
Last Update Date | 09/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710389994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |