Individual
FRED K KHALOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 FAIRWAY DR, ALTOONA, PA 16602-4472
(814) 942-1166
(814) 283-0085
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
OS004841L
PA
Other
Enumeration date
05/18/2006
Last updated
09/01/2017
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