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Organization

PIONEER CITY URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROMAN MATLAGA M.D. (OWNER)
(570) 282-4100
Entity
Organization

Contact information

Practice address
267 BROOKLYN ST, SUITE B, CARBONDALE, PA 18407-2836
(570) 282-4100
(570) 282-4200
Mailing address
PO BOX 1644, KINGSTON, PA 18704-0644
(570) 282-4100
(570) 282-4200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
03/14/2012
Last updated
06/26/2012
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