Individual
JAMES E CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NOLTE DR, KITTANNING, PA 16201
(724) 543-8122
Mailing address
PO BOX 28, WASHINGTON, PA 15301
(724) 228-3400
(724) 228-7040
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD020484E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001041886003
—
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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