Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Meadville Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5030
Entity
Organization
Contact information
Practice address
1015 GROVE ST, MEADVILLE, PA 16335-2905
(814) 373-3472
(814) 373-7082
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-3472
(814) 373-7082
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
02/03/2020
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