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25 Main St Smithfield PA 15478-8943 | |
| (724) 569-1420 | |
| (724) 569-5209 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Main St, Smithfield, 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 |
|---|---|
25 Main St Smithfield PA 15478-8943 Ph: (724) 569-1420 | 25 Main St Smithfield PA 15478-8943 Ph: (724) 569-1420 |
| NPI Number | 1588066765 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588066765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Montgomery Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Laurel View Dr, Smithfield, PA 15478 Phone: 724-569-8100 |