Organization
SLIPPERY ROCK FAMILY MEDICINE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MCDONALD M.D. (OWNER)
(724) 794-4023
Entity
Organization
Contact information
Practice address
565 KELLY BLVD, SLIPPERY ROCK, PA 16057-1155
(724) 794-4023
(724) 794-3675
Mailing address
565 KELLY BLVD, SLIPPERY ROCK, PA 16057-1155
(724) 794-4023
(724) 794-3675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD046378L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007574700001
—
PA
01
—
364635
HIGHMARK BCBS
PA
Enumeration date
07/13/2006
Last updated
08/07/2008
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