Organization
COVE FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRON B LOCKE MD (OWNER)
(814) 224-5132
Entity
Organization
Contact information
Practice address
111 NASON DR, STE 101, ROARING SPRING, PA 16673-1212
(814) 224-5132
(814) 224-2903
Mailing address
111 NASON DR, STE 101, ROARING SPRING, PA 16673-1212
(814) 224-5132
(814) 224-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015716860011
—
PA
Enumeration date
02/08/2006
Last updated
12/21/2016
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