# PUNXSUTAWNEY MEDICAL SERVICES-OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750419305
- **Authorized official:** JACK SISK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (814) 938-1882

## Contact information

- **Practice address:** 1464 N MAIN ST, SUITE 14, PUNXSUTAWNEY, PA 15767-2609
- **Practice address phone:** (814) 938-3343
- **Practice address fax:** (814) 938-3369
- **Mailing address:** 81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
- **Mailing address phone:** (814) 938-1450
- **Mailing address fax:** (814) 938-1885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD 424295 | PA | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020