Individual
GERALD R MEDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-7616
(724) 773-4673
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-7616
(724) 773-4673
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OS004695L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001090657
—
PA
Enumeration date
01/30/2006
Last updated
09/18/2007
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