Organization
CICERON L. OPIDA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CICERON L OPIDA MD (OWNER)
(814) 946-5000
Entity
Organization
Contact information
Practice address
1915 VALLEY VIEW BLVD, ALTOONA, PA 16602-6527
(814) 946-5000
(814) 946-9058
Mailing address
1915 VALLEY VIEW BLVD, ALTOONA, PA 16602-6527
(814) 946-5000
(814) 946-9058
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MD020883E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007516800002
—
PA
Enumeration date
05/22/2008
Last updated
05/22/2008
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