Phillip States, Md, Family Practice | |
81 Hillcrest Dr Suite 1300 Punxsutawney PA 15767-2605 | |
(814) 938-3550 | |
(814) 938-3679 |
Full Name | Phillip States, Md, Family Practice |
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Speciality | Clinic/center - Rural Health |
Location | 81 Hillcrest Dr, Punxsutawney, Pennsylvania |
Authorized Official Name and Position | Phillip J States (OWNER/PROPRIETOR) |
Authorized Official Contact | 8149383550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phillip States, Md, Family Practice 81 Hillcrest Dr Suite 1300 Punxsutawney PA 15767-2605 Ph: (814) 938-3550 | Phillip States, Md, Family Practice 81 Hillcrest Dr Suite 1300 Punxsutawney PA 15767-2605 Ph: (814) 938-3550 |
NPI Number | 1376865816 |
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Provider Enumeration Date | 02/25/2010 |
Last Update Date | 12/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376865816 | NPI | - | NPPES |
393918 | Other | PA | CMS CERTIFICATION NUMBER |
1019257860003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 393918 (Pennsylvania) | Primary |
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 |