Organization
ELK REGIONAL PROFESSIONAL GROUP ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UPENDRA THAKER A.K. (PROVIDER)
(814) 788-8000
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8000
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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