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Individual

DENNIS M DEVITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 ELECTRIC AVE, SUITE 240, LEWISTOWN, PA 17044-1369
(717) 248-5200
(717) 242-8125
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD019256E
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD19256E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007712160001
PA
01
01026901
CAPITAL BLUE CROSS
PA
01
147667
HIGHMARK BLUE SHIELD
PA
01
200002950
PALMETTO GBA
PA
Enumeration date
07/06/2006
Last updated
08/24/2020
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