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4151 Henderson Rd Hickory PA 15340-1439 | |
(724) 356-2273 | |
(724) 356-2585 |
Full Name | |
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Speciality | Family Medicine |
Location | 4151 Henderson Rd, Hickory, Pennsylvania |
Authorized Official Name and Position | Edna C Krakosh (OFFICE MANAGER) |
Authorized Official Contact | 7243562273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4151 Henderson Rd Hickory PA 15340-1439 Ph: (724) 356-2273 | 4151 Henderson Rd Hickory PA 15340-1439 Ph: (724) 356-2273 |
NPI Number | 1437124260 |
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Provider Enumeration Date | 02/23/2006 |
Last Update Date | 02/11/2011 |
Identifier | Type | State | Issuer |
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1437124260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |