Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Bradford Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M. OWENS MD (CEO)
(716) 373-2600
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
541201
PA
2084N0400X
Neurology Physician
541201
PA
2084P0800X
Psychiatry Physician
Primary
541201
PA
Other
Enumeration date
01/27/2012
Last updated
10/10/2023
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