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Individual

DR. EMILIO VILLEGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 PENNSYLVANIA AVE, IRWIN, PA 15642-3552
(724) 863-1204
(724) 863-9169
Mailing address
100 PENNSYLVANIA AVE, IRWIN, PA 15642-3552
(724) 863-1204
(724) 863-9169

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
034457L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0608057
PA
01
580747
HIGHMARK
Enumeration date
06/13/2005
Last updated
09/15/2009
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