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Organization
PRIMARY CARE CENTER OF MT MORRIS
Active
Organization
PRIMARY CARE CENTER OF MT MORRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MTJOY CEO (CEO)
(724) 943-3308
Entity
Organization
Contact information
Practice address
104 FRONT STREET, SUITE 102, MOUNT MORRIS, PA 15349-0495
(724) 324-9001
(724) 324-9005
Mailing address
104 FRONT STREET, SUITE 102, MOUNT MORRIS, PA 15349-0495
(724) 324-9001
(724) 324-9005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080019751680001
—
PA
Enumeration date
03/27/2007
Last updated
09/05/2008
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