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Organization

LAUREL PEDIATRIC ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNIE WILSON BARTO MD (CEO OWNER)
(814) 262-9500
Entity
Organization

Contact information

Practice address
323 BUDFIELD STREET, JOHNSTOWN, PA 15904-3219
(814) 262-9500
(814) 262-7303
Mailing address
323 BUDFIELD STREET, JOHNSTOWN, PA 15904-3219
(814) 262-9500
(814) 262-7303

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000849373
HIGHMARK GROUP PROV. NUMB
PA
05
0018019370001
PA
Enumeration date
05/11/2006
Last updated
06/24/2008
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