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Individual

WILLIAM H JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7000
Mailing address
PO BOX 16, STATE COLLEGE, PA 16804-0016
(814) 466-5090
(814) 466-5095

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD067500L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017366320001
PA
01
50007036
KEYSTONE HEALTH PLAN CENT
PA
01
50413
GEISINGER HEALTH PLAN
PA
01
609247
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/12/2006
Last updated
01/11/2019
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