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220 W Main St Everett PA 15537-1134 | |
| (814) 652-6107 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 220 W Main St, Everett, Pennsylvania |
| Authorized Official Name and Position | Mark Ehalt (DIRECTOR) |
| Authorized Official Contact | 4126470943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
220 W Main St Everett PA 15537-1134 Ph: (814) 652-6107 | 220 W Main St Everett PA 15537-1134 Ph: (814) 652-6107 |
| NPI Number | 1902932494 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902932494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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