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Organization
MEADVILLE MEDICAL CENTER
Active
Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Meadville Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5030
Entity
Organization
Contact information
Practice address
1015 GROVE ST, MEADVILLE, PA 16335-2905
(814) 373-3472
(814) 373-7082
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-3472
(814) 373-7082
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
02/03/2020
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