Full Name | |
---|---|
Speciality | Pediatrics |
Location | 123 Hospital Ave, Dubois, Pennsylvania |
Authorized Official Name and Position | Brian Kline (CFO) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Hospital Ave Du Bois PA 15801-1440 Ph: () - | 123 Hospital Ave Dubois PA 15801 Ph: (814) 371-1510 |
NPI Number | 1871960047 |
---|---|
Provider Enumeration Date | 08/24/2015 |
Last Update Date | 05/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871960047 | NPI | - | NPPES |
100774088 | Medicaid | PA |
Henry G Delatorre Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Beaver Drive, 214d, Bldg D, Dubois, PA 15801 Phone: 866-813-9862 |