Organization
KING-MACEYKO DERMATOLOGY ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA H KING (PRACTICE ADMINISTRATOR)
(814) 536-7045
Entity
Organization
Contact information
Practice address
572 PHILADELPHIA ST, INDIANA, PA 15701
(724) 349-7720
(724) 349-8993
Mailing address
350 SOUTHMONT BLVD, JOHNSTOWN, PA 15905-4330
(814) 536-7045
(814) 539-3927
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723056
BLUE SHIELD
PA
Enumeration date
09/15/2006
Last updated
12/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us