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Organization

LAUREL RIDGE EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON L SOBOL MD (OWNER)
(724) 437-2222
Entity
Organization

Contact information

Practice address
139 W FAYETTE ST, UNIONTOWN, PA 15401-3207
(724) 437-2222
(724) 437-8505
Mailing address
139 W FAYETTE ST, UNIONTOWN, PA 15401-3207
(724) 437-2222
(724) 437-8505

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD073502L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008620190001
PA
Enumeration date
04/30/2013
Last updated
04/30/2013
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