| Obryon Family Medicine Inc | |
|
898 Beaver Dr Du Bois PA 15801-2512 | |
| (814) 371-3980 | |
| (814) 371-8317 |
| Full Name | Obryon Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 898 Beaver Dr, Du Bois, Pennsylvania |
| Authorized Official Name and Position | James E Obryon (OWNER) |
| Authorized Official Contact | 8143713980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Obryon Family Medicine Inc 898 Beaver Dr Du Bois PA 15801-2512 Ph: (814) 371-3980 | Obryon Family Medicine Inc 898 Beaver Dr Du Bois PA 15801-2512 Ph: (814) 371-3980 |
| NPI Number | 1437318128 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 04/08/2013 |
| Medicare PECOS PAC ID | 8426120122 |
|---|---|
| Medicare Enrollment ID | O20080711000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437318128 | NPI | - | NPPES |
| 1021391470001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James E Obryon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598742512 PECOS PAC ID: 1658386370 Enrollment ID: I20060217000070 |
| Provider Name | Kristin O'bryon Renwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053761759 PECOS PAC ID: 8325332182 Enrollment ID: I20190813000834 |
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