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Organization
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
Active
Organization
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A POLAND (CHIEF FINANCIAL OFFICER)
(814) 333-5031
Entity
Organization
Contact information
Practice address
765 LIBERTY ST., SUITE 204, MEADVILLE WOMEN'S CARE, MEADVILLE, PA 16335
(814) 333-5697
Mailing address
765 LIBERTY ST., SUITE 204, MEADVILLE WOMEN'S CARE, MEADVILLE, PA 16335
(814) 333-5697
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
12/05/2008
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