Peak Performance Sports And Family Medicine Llc | |
6023 West Ridge Road Erie PA 16506 | |
(440) 344-6662 | |
(717) 214-3009 |
Full Name | Peak Performance Sports And Family Medicine Llc |
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Speciality | Family Medicine |
Location | 6023 West Ridge Road, Erie, Pennsylvania |
Authorized Official Name and Position | Nathaniel Scott Franley (OWNER) |
Authorized Official Contact | 4403446662 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peak Performance Sports And Family Medicine Llc 6023 West Ridge Road Erie PA 16506 Ph: (440) 344-6662 | Peak Performance Sports And Family Medicine Llc 6023 West Ridge Road Erie PA 16506 Ph: (440) 344-6662 |
NPI Number | 1881429702 |
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Provider Enumeration Date | 09/03/2024 |
Last Update Date | 09/03/2024 |
Medicare PECOS PAC ID | 2062946965 |
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Medicare Enrollment ID | O20241114003357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881429702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | Nathaniel Scott Franley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992096549 PECOS PAC ID: 8921238403 Enrollment ID: I20241114003232 |
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