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Organization
PROBST FAMILY PRACTICE, LLC
Active
Organization
PROBST FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PROBST (MANAGER)
(570) 927-0865
Entity
Organization
Contact information
Practice address
924 HURON AVE, RENOVO, PA 17764-1142
(412) 655-4362
Mailing address
PO BOX 791, CARNEGIE, PA 15106-0791
(570) 927-0865
(412) 504-7702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS00065L
STATE LICENSE
PA
Enumeration date
04/10/2024
Last updated
04/09/2025
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