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2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 | |
(724) 583-2819 | |
(724) 583-8550 |
Full Name | |
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Speciality | Family Medicine |
Location | 2175 Mcclellandtown Rd, Masontown, 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 |
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2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 Ph: (724) 583-2819 | 2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 Ph: (724) 583-2819 |
NPI Number | 1780086967 |
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Provider Enumeration Date | 09/19/2014 |
Last Update Date | 09/19/2014 |
Identifier | Type | State | Issuer |
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1780086967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |