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Organization
ELK REGIONAL PROFESSIONAL GROUP, INC
Active
Organization
ELK REGIONAL PROFESSIONAL GROUP, INC
Active
Other names
ERPG Pathology Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L SIMBECK (BUSINESS ADMINSITRATOR)
(814) 788-8615
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, ST MARYS, PA 15857-3417
(814) 788-8179
(814) 788-8039
Mailing address
763 JOHNSONBURG RD, ST MARYS, PA 15857-3417
(814) 788-8179
(814) 788-8039
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
09/09/2010
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