Organization
HUNTINGDON GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH A WADDLE D.O. (PARTNER)
(814) 643-1141
Entity
Organization
Contact information
Practice address
820 BRYAN ST, SUITE 1, HUNTINGDON, PA 16652-2414
(814) 643-1141
(814) 643-9451
Mailing address
820 BRYAN ST, SUITE 1, HUNTINGDON, PA 16652-2414
(814) 643-1141
(814) 643-9451
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743142
HIGHMARK
PA
Enumeration date
06/07/2006
Last updated
08/22/2020
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