# CRAWFORD COUNTY SUB-SPECIALISTS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255585691
- **Authorized official:** DAVID A POLAND (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (814) 333-5031

## Contact information

- **Practice address:** 765 LIBERTY ST., SUITE 204, MEADVILLE WOMEN'S CARE, MEADVILLE, PA 16335
- **Practice address phone:** (814) 333-5697
- **Mailing address:** 765 LIBERTY ST., SUITE 204, MEADVILLE WOMEN'S CARE, MEADVILLE, PA 16335
- **Mailing address phone:** (814) 333-5697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 12/05/2008