# GLADE RUN MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adult Medicine Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649616921
- **Authorized official:** MR. PATRICK C BURNS (CFO, VP FINANCE)
- **Authorized official phone:** (724) 543-8618

## Contact information

- **Practice address:** 112 CAPITOL PARK DR, SARVER, PA 16055-8102
- **Practice address phone:** (724) 543-5919
- **Practice address fax:** (724) 543-3544
- **Mailing address:** 100 MEDICAL ARTS BLDG, SUITE 150, KITTANNING, PA 16201-7135
- **Mailing address phone:** (724) 545-1288
- **Mailing address fax:** (724) 545-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2013
- **Last updated:** 05/30/2013