Organization
ERIE PHYSICIANS NETWORK-UPMC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EHALT (SR.DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
1325 W 26TH ST, ERIE, PA 16508-1469
(412) 647-0943
(412) 647-4050
Mailing address
2861 W 26TH ST, SUITE 2, ERIE, PA 16506-3064
(814) 835-3751
(814) 835-3755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
10/11/2011
Last updated
04/09/2012
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