Organization
ALLEGHENY CLINIC
Active
Other names
Colonial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CECILI R JONES (ANALYST)
(412) 330-4813
Entity
Organization
Contact information
Practice address
706 EKASTOWN RD, SARVER, PA 16055-9724
(724) 353-1508
(724) 353-2040
Mailing address
706 EKASTOWN RD, SARVER, PA 16055-9724
(724) 353-1508
(724) 353-2040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731714
—
PA
Enumeration date
09/20/2013
Last updated
06/25/2014
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