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Organization
PLAID EAGLE MEDICAL PLLC
Active
Organization
PLAID EAGLE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA HANKINS (OFFICE ADMINSTRATOR)
(801) 888-1140
Entity
Organization
Contact information
Practice address
3835 NORTHERN PIKE STE 1, MONROEVILLE, PA 15146-2132
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
11/06/2024
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