Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Clinic for Specialty Pain Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO J SUNTAY (CFO)
(814) 333-5031
Entity
Organization
Contact information
Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5736
(814) 333-5819
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5736
(814) 333-5819
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD421359
PA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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