Organization
MCKINLEY OB/GYN ASSOCIATES PC
Active
Other names
McKinley Ob/Gyn Associates PC Lab
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCKINLEY MD (PRESIDENT)
(814) 262-7470
Entity
Organization
Contact information
Practice address
1481 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 262-7470
(814) 262-7472
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD019054E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015065000002
—
PA
Enumeration date
11/01/2007
Last updated
11/01/2007
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