Organization
PUNXSUTAWNEY MEDICAL SERVICES - ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SISK (CHIEF FINANCIAL OFFICER)
(814) 938-1882
Entity
Organization
Contact information
Practice address
1464 N MAIN ST, SUITE 9, PUNXSUTAWNEY, PA 15767-2609
(814) 938-2300
(814) 938-6878
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1450
(814) 938-1885
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD 067875L
PA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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