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Organization

FAYETTE SPECIALTY ASSOCIATES

Active
Other names
Fayette Specialty Associates-Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE MILLER (ADMINISTRATOR)
(724) 425-8332
Entity
Organization

Contact information

Practice address
211 EASY ST, SUITE 213, UNIONTOWN, PA 15401-3129
(724) 425-8332
(724) 434-1659
Mailing address
112 YOUNGSTOWN RD, SUITE 102, LEMONT FURNACE, PA 15456-1344
(724) 425-8332
(724) 434-1659

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
PA

Other

Enumeration date
11/30/2010
Last updated
11/30/2010
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