Penn Highlands Family Medicine - Kozloski & Usaitis | |
145 Hospital Ave Ste 205 Du Bois PA 15801-1464 | |
(814) 375-3911 | |
(814) 375-4424 |
Full Name | Penn Highlands Family Medicine - Kozloski & Usaitis |
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Speciality | Family Medicine |
Location | 145 Hospital Ave Ste 205, Du Bois, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (AUTHORIZED OFFICIAL, 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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Penn Highlands Family Medicine - Kozloski & Usaitis 100 Hospital Avenue Dubois PA 15801-1440 Ph: (814) 375-4200 | Penn Highlands Family Medicine - Kozloski & Usaitis 145 Hospital Ave Ste 205 Du Bois PA 15801-1464 Ph: (814) 375-3911 |
NPI Number | 1053562207 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 11/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053562207 | NPI | - | NPPES |
100774088-0070 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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