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424 Grant Ave Duquesne PA 15110-1011 | |
(412) 647-0943 | |
(412) 647-4050 |
Full Name | |
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Speciality | Internal Medicine |
Location | 424 Grant Ave, Duquesne, 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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424 Grant Ave Duquesne PA 15110-1011 Ph: (412) 647-0943 | 424 Grant Ave Duquesne PA 15110-1011 Ph: (412) 647-0943 |
NPI Number | 1881828069 |
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Provider Enumeration Date | 05/04/2009 |
Last Update Date | 05/04/2009 |
Identifier | Type | State | Issuer |
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1881828069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |