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Individual Provider (NPI-1) Active

Hospitalist

Provider Information

NPI Number
1952953366
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
500 W BERKELEY ST, UNIONTOWN, PA, 154015514
Phone
(724) 430-5000

Specialties & Taxonomies

Hospitalist Primary License: PA #MD477680
Hospitalist License: CA #A199954
Student in an Organized Health Care Education/Training Program
Family Medicine License: PA #MD477680

All Addresses

MAILING

40 MEDICAL PARK STE 401

WHEELING, WV, 260036392

(304) 243-3880

LOCATION

500 W BERKELEY ST

UNIONTOWN, PA, 154015514

(724) 430-5000