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Organization
MEADVILLE EMERGENCY PHYS PC
Active
Organization
MEADVILLE EMERGENCY PHYS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MITCHELL MD (MEDICAL DIRECTOR)
(814) 333-5000
Entity
Organization
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Mailing address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019610000001
—
PA
Enumeration date
06/21/2006
Last updated
08/22/2020
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