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7287 West Ridge Road Fairview PA 16415-2360 | |
(814) 877-2360 | |
(814) 474-3561 |
Full Name | |
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Speciality | Family Medicine |
Location | 7287 West Ridge Road, Fairview, Pennsylvania |
Authorized Official Name and Position | David Gibbons (PRESIDENT) |
Authorized Official Contact | 8148777591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7287 West Ridge Road Fairview PA 16415-2360 Ph: (814) 877-2360 | 7287 West Ridge Road Fairview PA 16415-2360 Ph: (814) 877-2360 |
NPI Number | 1467619163 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
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1467619163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |