Individual
DR. DEBORAH J. MISTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
32 WEST FOOTHILLS DRIVE, DRUMS, PA 18222
(570) 788-5000
(570) 788-2325
Mailing address
PO BOX 1347, KINGSTON, PA 18704-0347
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005335L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009920370003
—
PA
01
—
003005
FIRST PRIORITY HEALTH
PA
01
—
39526
GEISINGER HEALTH PLAN
PA
01
—
5183046
AETNA
PA
01
—
89664
HIGHMARK BLUE SHIELD
PA
01
—
P004937
GATEWAY HEALTH PLAN
PA
Enumeration date
11/10/2006
Last updated
04/03/2013
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