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21911 Route 119 Punxsutawney PA 15767 | |
(814) 938-2602 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 21911 Route 119, Punxsutawney, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (VP/CFO/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-4200 | 21911 Route 119 Punxsutawney PA 15767 Ph: (814) 938-2602 |
NPI Number | 1770246506 |
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Provider Enumeration Date | 10/19/2021 |
Last Update Date | 03/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770246506 | NPI | - | NPPES |
100774088 | Medicaid | PA | |
106218 | Other | PA | PTAN |
Phillip States, Md, Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Hillcrest Dr, Suite 1300, Punxsutawney, PA 15767 Phone: 814-938-3550 Fax: 814-938-3679 | |
Drayer Physical Therapy Institute Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1464 N Main St Ste 14, Punxsutawney, PA 15767 Phone: 814-618-5234 Fax: 814-618-5571 | |
Pallone Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 N Main St, Punxsutawney, PA 15767 Phone: 814-249-7583 Fax: 814-249-7584 |