Individual
CAROL E. KOWTONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
226 FAIRFIELD AVE, JOHNSTOWN, PA 15906-2310
(814) 535-6167
(814) 535-5428
Mailing address
226 FAIRFIELD AVE, JOHNSTOWN, PA 15906-2310
(814) 535-6167
(814) 535-5428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004976L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OS004976L
—
PA
Enumeration date
02/06/2007
Last updated
07/08/2007
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