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2400 Corporate Park Drive Suite 100 Wexford PA 15090 | |
(724) 935-4700 | |
(724) 935-8376 |
Full Name | |
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Speciality | Family Medicine |
Location | 2400 Corporate Park Drive, Wexford, Pennsylvania |
Authorized Official Name and Position | Mark Ehalt (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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2400 Corporate Park Drive Suite 100 Wexford PA 15090 Ph: (724) 935-4700 | 2400 Corporate Park Drive Suite 100 Wexford PA 15090 Ph: (724) 935-4700 |
NPI Number | 1326290081 |
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Provider Enumeration Date | 10/14/2008 |
Last Update Date | 10/14/2008 |
Identifier | Type | State | Issuer |
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1326290081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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