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Organization

CONVENIENT CARE COLLABORATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SIEDA BARROW FNP-BC (CRNP/ PROVIDER)
(267) 975-6765
Entity
Organization

Contact information

Practice address
5250 W JEFFERSON ST, PHILADELPHIA, PA 19131-3622
(267) 975-6765
(267) 200-0924
Mailing address
5250 W JEFFERSON ST, PHILADELPHIA, PA 19131-3622
(267) 975-6765
(267) 200-0924

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP015976
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265634042
PA
Enumeration date
12/19/2017
Last updated
03/08/2019
About Stedi
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