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428 Windmere Dr Ste. 100 State College PA 16801-7668 | |
(814) 867-1852 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 428 Windmere Dr, State College, Pennsylvania |
Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
Authorized Official Contact | 6365342300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | 428 Windmere Dr Ste. 100 State College PA 16801-7668 Ph: (814) 867-1852 |
NPI Number | 1831304070 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1831304070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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