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Organization
ELK REGIONAL PROFESSIONAL GROUP, INC
Active
Organization
ELK REGIONAL PROFESSIONAL GROUP, INC
Active
Other names
ERPG Keystone Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RITA V OLSZEWSKI (VICE PRESIDENT, ERPG)
(814) 788-8580
Entity
Organization
Contact information
Practice address
136 STATE ST, ST MARYS, PA 15857-1626
(814) 781-6758
(814) 834-1038
Mailing address
136 STATE ST, ST MARYS, PA 15857-1626
(814) 781-6758
(814) 834-1038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018592850010
—
PA
01
—
1418283
HIGHMARK ASSIGNMENT
PA
Enumeration date
09/30/2005
Last updated
09/11/2025
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