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Organization
EPMG OF PENNSYLVANIA, P.C.
Active
Organization
EPMG OF PENNSYLVANIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY W. SMITH M.D. (CHIEF MEDICAL OFFICER)
(800) 466-3764
Entity
Organization
Contact information
Practice address
1400 MAIN ST, PECKVILLE, PA 18452-2009
(570) 489-7546
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(800) 466-3764
(734) 995-2913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016957360006
—
PA
01
—
EP1784066
BC/BS HIGHMARK
PA
Enumeration date
06/11/2006
Last updated
01/27/2011
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