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Organization
CANTON-POTSDAM MEDICAL PRACTICE PLLC
Active
Organization
CANTON-POTSDAM MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PEGGS (PROVIDER ENROLLMENT MANAGER)
(315) 261-5044
Entity
Organization
Contact information
Practice address
80 EAST MAIN STREET, CANTON, NY 13617
(315) 265-3300
(315) 261-6025
Mailing address
50 LEROY ST, POTSDAM, NY 13676
(315) 265-3300
(315) 261-6025
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/17/2013
Last updated
11/13/2024
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