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100 Meadow Ln Ste 4 Du Bois PA 15801-2460 | |
(814) 375-0600 | |
(814) 375-4469 |
Full Name | |
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Speciality | Family Medicine |
Location | 100 Meadow Ln Ste 4, Du Bois, 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) 375-0600 | 100 Meadow Ln Ste 4 Du Bois PA 15801-2460 Ph: (814) 375-0600 |
NPI Number | 1528269305 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 10/25/2024 |
Identifier | Type | State | Issuer |
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1528269305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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