Organization
SPINE & EXTREMITIES CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN W MILLS (CREDENTIALING SPECIALIST)
(814) 577-9385
Entity
Organization
Contact information
Practice address
457 S 5TH AVE, CLARION, PA 16214-6011
(814) 227-5855
Mailing address
PO BOX 68, OSCEOLA MILLS, PA 16666-0068
(814) 577-9385
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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