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Organization
PRIME MEDICAL GROUP
Active
Organization
PRIME MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA SETHMAN (PRACTICE ADMINISTRATOR)
(724) 929-2640
Entity
Organization
Contact information
Practice address
180 FORT COUCH RD, SUITE 275, PITTSBURGH, PA 15241-1041
(412) 831-2288
(412) 831-2679
Mailing address
515 BROAD AVE, BELLE VERNON, PA 15012-1405
(724) 929-4930
(724) 929-4308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD037195E
PA
207R00000X
Internal Medicine Physician
Primary
MD037112E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010652420006
—
PA
05
—
0014701550001
—
PA
01
—
PENDING
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/03/2009
Last updated
04/03/2009
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