Organization
ALTOONA OB/GYN ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE O'SHELL (OFFICE MANAGER)
(814) 944-7097
Entity
Organization
Contact information
Practice address
1701 12TH AVE, BUILDING A, ALTOONA, PA 16601-3100
(814) 944-5062
(814) 944-5557
Mailing address
1701 12TH AVE, BUILDING A, ALTOONA, PA 16601-3100
(814) 944-5062
(814) 944-5557
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD068355L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008400670001
—
PA
Enumeration date
07/16/2006
Last updated
08/14/2023
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