| Mistal Deborah J Do Pc | |
|
32 W Foothills Dr Drums PA 18222-2407 | |
| (570) 788-5000 | |
| (570) 788-2325 |
| Full Name | Mistal Deborah J Do Pc |
|---|---|
| Speciality | General Practice |
| Location | 32 W Foothills Dr, Drums, Pennsylvania |
| Authorized Official Name and Position | Deborah Jean Mistal (PRESIDENT) |
| Authorized Official Contact | 5707885000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mistal Deborah J Do Pc 32 W Foothills Dr Drums PA 18222-2407 Ph: (570) 788-5000 | Mistal Deborah J Do Pc 32 W Foothills Dr Drums PA 18222-2407 Ph: (570) 788-5000 |
| NPI Number | 1295180719 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 6901884642 |
|---|---|
| Medicare Enrollment ID | O20040709000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295180719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS005335-L (Pennsylvania) | Primary |
| Provider Name | Deborah J Mistal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033280417 PECOS PAC ID: 2668571381 Enrollment ID: I20070621000177 |
Philip J. Benyo, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S Old Turnpike Rd, Drums, PA 18222 Phone: 570-788-6363 | |
Deborah J Mistal Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Foothills Dr, Drums, PA 18222 Phone: 570-788-5000 | |
Philip J Benyo, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S Old Turnpike Rd, Drums, PA 18222 Phone: 570-788-6363 |