Individual
JOEL EIDBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 437-5234
Mailing address
751 LIBERTY STREET, MEADVILLE, PA 16335-2559
(814) 333-5518
(814) 333-5987
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD046905L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012939270002
—
PA
Enumeration date
01/18/2006
Last updated
06/04/2014
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