Organization
MEDICAL BARIATRIC WEIGHTLOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY THOMAS (OWNER)
(412) 979-9772
Entity
Organization
Contact information
Practice address
150 PLEASANT DR, ALIQUIPPA, PA 15001-1360
(412) 979-9772
(412) 774-1615
Mailing address
150 PLEASANT DR, ALIQUIPPA, PA 15001-1360
(412) 979-9772
(412) 774-1615
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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