Individual
DR. JON R BELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 NOLTE DR BLDG 100, SUITE 150, KITTANNING, PA 16201-7111
(724) 543-5919
(724) 543-3544
Mailing address
1 NOLTE DR, SUITE 150, KITTANNING, PA 16201-7111
(724) 543-5919
(724) 543-3544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015495
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10257959500001
—
PA
Enumeration date
08/15/2010
Last updated
01/25/2012
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