Individual
LINDA DIANE MARDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
236 JAMESWAY RD, EBENSBURG, PA 15931-4207
(814) 410-8344
(814) 410-8331
Mailing address
1086 FRANKLIN ST, ATTN: SANDY ODGERS, JOHNSTOWN, PA 15905-4305
(814) 410-8344
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002078L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00259042
RAILROAD MEDICARE
PA
Enumeration date
03/27/2006
Last updated
10/21/2015
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