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757 Johnsonburg Rd Saint Marys PA 15857-3488 | |
(814) 371-2200 | |
(814) 375-4232 |
Full Name | |
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Speciality | Family Medicine |
Location | 757 Johnsonburg Rd, Saint Marys, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (VP/CFO) |
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) 371-2200 | 757 Johnsonburg Rd Saint Marys PA 15857-3488 Ph: (814) 371-2200 |
NPI Number | 1194100636 |
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Provider Enumeration Date | 07/27/2015 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
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1194100636 | NPI | - | NPPES |
1007740880070 | Medicaid | PA |