Organization
CLARION UNIVERSITY OF PENNSYLVANIA
Active
Organization
CLARION UNIVERSITY OF PENNSYLVANIA
Active
Other names
Northwest PA Rural AIDS Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KUNDICK (FISCAL ADMINISTRATOR)
(814) 297-8220
Entity
Organization
Contact information
Practice address
15870 ROUTE 322, SUITE 2, CLARION, PA 16214-6338
(814) 764-6066
Mailing address
15870 ROUTE 322, SUITE 2, CLARION, PA 16214-6338
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
251B00000X
Case Management Agency
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002302280003
—
PA
Enumeration date
05/08/2007
Last updated
12/12/2019
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